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Admin
 
POLO CLUB ESQUIRES
P.O.BOX 85304
BATON ROUGE, Louisiana
70884
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| THE POLO CLUB ESQUIRE’S
Rules and Regulations
Thank you for choosing The POLO CLUB ESQUIRES for your 2007
Football/Cheerleading season. In order for us to make this an enjoyable
and successful season we need everyone to be a Team Player.
1. I understand that it is my responsibility to get my child/children to practice on
time.
2. I understand that if my child does not make the required number of practices the
coaches will not be required to have them participate on game day.
3. I understand that I am not allowed on the football field during practice, and on
game day.
4. I understand that it is my responsibility to clean up after myself at the practice
field and the game field.
5. I am responsible for the behavior of anyone that I bring to the game.
6. I understand that smoking or alcoholic beverages are not allowed on the property
of any game or practice fields.
7. I understand that foul language will not be tolerated.
8. I understand that my child and I may be asked to resign our membership with the
organization if we display any signs of abusive behavior towards the staff,
teammates, other parents or other players.
9. I understand The Polo Club Esquire’s is not a babysitting opportunity for me, and that my presence is appreciated at practice, and on game day.
10. I will represent The Polo Club Esquire’s in a positive way.
11. If there are any discrepancies concerning my child I will first take it up with their
Coach in letter form or by E-mail, I will allow The Polo Club representative until the end of the next practice to respond to my concern. If the problem is not attended to, I will then contact the President of The Polo Club to resolve the problem by E-Mail or letter form.
12. I understand that No Refund of any kind will be given back.
13. I will refrain from criticizing participants or coaches except for in a private
meeting with the Head Coach.
14. I will treat other players, coaches, fans and officials with respect regardless of
race, sex, creed or ability.
Welcome to The Polo Club Esquire’s, Have a Great Season!
_____________________________________________ _______________________
Parent Signature Date
*These rules are simply guidelines that we should abide by to make
“The Polo Club Esquire’s” the best organization for our children. Let’s Make It A Team Effort!!!
Parent/Guardian Understanding: My child’s picture or likeness may __ or may not __ be
displayed on The Polo Club Esquire’s /affiliate organization websites.
Conduct: I understand that we are expected as parent/guardians to conduct ourselves in a civil
manner at The Polo Club events, and failure to do so could result in expulsion from the event by the affiliate organization and or League officials.
I understand that the consumption of alcohol and tobacco products is strictly prohibited at The Polo Club Esquire’s games and events.
Parental Medical Treatment Authorization: In the event of injury to my child, I hereby
grant authority to a qualified physician to render such medical treatment as said physician deems
necessary under the circumstances. I have read and understand everything on this form. My
signature shows my acceptance to all items on this form.
___________________________________ ____________________ _______________
Parent/Guardian Signature Relation Date
Physical Examination If a physical exam was done; attach it to this registration form.
If not, sign the waiver below:
I, the Parent/Guardian of this child, believe to the best of my knowledge that he/she can withstand the rigors of a football or cheerleading season. I, the Parent/Guardian, believe there is nothing physically/mentally wrong with my child. I, the Parent/Guardian, hereby give my approval to my child to participate in the upcoming season without a physical examination, which is recommended by The Polo Club Esquire’s . I assume all risks and hazards incidental to such participation without a physical and do hereby waive, release, absolve, indemnity and agree to hold harmless, The Polo Club Esquire’s , the affiliate organization, the sponsors, supervisors, participants, volunteers, coaches and any other persons involved in The Polo Club.
Parent/Guardian Signature: ______________________________
No Refunds / No Exceptions
THE POLO CLUB ESQUIRE’S FOOTBALL/CHEERLEADER REGISTRATION FORM (2007)
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Welcome To The POLO CLUB!
YOUTH FOOTBALL LEAGUE, Inc.
www.poloclubesquires.com
Participant’s Name______________________________________
Age: ___________ School _______________________
Address ___________________________________________
City ______________State _______ Zip _______________
Home Phone Number ________________________________
Date of Birth _______________________________________
Sibling Participating Name __________________________
Sibling Football___ Age ___, ____, ____
Sibling Cheerleader__ Age ___, ____, ____
Parents Name (Mom) _____________________________________
(Dad) ______________________________________
Mom’s Work # _________________________________________
Mom’s Cell # ____________________________________________
Mom’s E-Mail____________________________________________
Dad’s Work # _________________________________________
Dad’s Cell # ________________________Dad’s E-Mail_______________________________________
Parent/Guardian Authorization of Release and Indemnifying Agreement: I, the Undersigned parent or guardian, of the above named applicant hereby gives my approval for his/her participation in all activities in The Polo Club for the assigned team of choice. I understand that The Polo Club is not responsible for incidental risks and hazards in his/her participation, including transportation to and from all activities. I hereby waive, release, absolve, and indemnify not to hold any sponsors, officials, supervisors, and other participants in any activities responsible. I acknowledge that The Polo Club will not be responsible for any claim arising out of the injury of the above named applicant whether the result of negligence or any other reason. We grant permission to the supervisors, managing personnel, and other representatives the authority to obtain medical care from a licensed physician; hospital or medical clinic should
my son or daughter become ill or injured while participating in any activity when neither parent nor guardian is available during the emergency. As the undersigned parent/ guardian I do hereby grant The Polo Club my permission to obtain a copy of my son/daughter birth certificate. The Polo Club also has the right to check with the athletic department of my son/daughter school for the purpose of verifying his or her age and the legality to participate in this program. I realize that changing of a birth certificate is forgery (falsifying a legal document), which is a state and federal crime and also against league rules and policies. The Polo Club will not tolerate such actions and will press charges against me as the responsible parent/guardian.
PARENT/GUARDIAN SIGNATURE (REQUIRED):
X___________________________________________
*****************************************************
This is ______or is not_________ my first year
As a football player or cheerleader (X one)
2006 Team Name: _____________________
Division: ______________________
*****************************************************
To be filled out by The Polo Club Registrar or Board Members Only
Reg. Fee ______ Insurance ______ Date: ____________
Fundraiser_____ Equipment/ Uniforms _______
Players Weight: ________
Recent Photo: _____
Rules & Regulations: _____
Waiver Forms: _____
B.C. Copy: _____
B.C. #_____________________________
I certify that I am the legal parent or guardian of the above named applicant. All information stated above is correct. I will adhere to all stipulations set forth below. I acknowledge that The Polo Club has the right to suspend my son or daughter from all activities in the program if there are any violations.
PLEASE PLACE PHOTO HERE
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