CYO

SAVE $10.00 by registering your child on line with the CYO. Please complete the form below and pay the $25.00 registration fee.
Please enter one child per form. (The form to be completed by the student's parent or guardian)

If you cannot complete the form online, please contact your parish to submit a manual form. Complete the form and submit the form with the
$25.00 registration fee plus a $10.00 processing fee, (total $35.00) to the parish CYO your student is participating with. Please enter one child per form.
(The form to be completed by the student's parent or guardian)

PURPOSE

The purpose of the athletic program is to help youth grow in the image of Christ through athletic events; to assure its contestants
and managers of complete honesty and fair play at all times; to provide proper safeguards for its contestants; and to cultivate
the confidence of the general public in the integrity of the contest played under its sponsorship and supervision.

Biographical Data

Student's Name: First: Last:
   
Grade:
Date of Birth: Month Day Year Enter a 4 digit year! ie 1996
Age:
Parish
School Attending:
School Participating With:
Name of Parent(s) or Guardian:
Address:
City:
State:
Zip: enter as 66223
Home Phone: enter as 913-638-1685
Work Phone: Leave blank if none.
Cell Number: Leave blank if none.
Gender:
Name of Emergency Contact:
Emergency Phone Number: enter as 913-638-1685
 

I. GENERAL RULES

The CYO Home Page (www.cyojwa.org) – Link: “Rules of Competition” contains eligibility requirements, rules of competition, protest, off-season participation and sport specific rules. Parents and participants should become familiar with the applicable rules.

Any student or parent who has questions regarding the Catholic Youth Organization Athletic Program, or league regulations, may contact the Head Coach, Parish Athletic Director or the Catholic Youth Organization Director for further information.

SUPERVISION: Every CYO team must be accompanied to all competition by an adult coach or an adult supervisor who shall be responsible for the team conduct and the conduct of the team members’ parents and followers. The absence of the adult coach or adult supervisor is not grounds for protest. However, lack of an adult coach or an adult supervisor, and unsportsmanlike conduct by a coach, supervisor, players, players’ parents, or team followers will make the group liable to suspension. An adult is defined as someone 21 years of age or older.

II. WARNING OF RISK

Playing or practicing to play/participate in any sport can be a dangerous activity involving RISK of INJURY. The dangers and risks of playing or practicing in Catholic Youth Sports include: The possibility of death; serious head, neck and spinal injuries which may result in complete or partial paralysis; brain damage; possible injury to virtually all internal organs; possible injury or impairment to other aspects of the body, and general health. The dangers and risks of playing or participating in school/parish sports could result not only in serious injury, but also in impairment of future abilities to earn a living and engage in social and recreational activities

III. SAFETY INFORMATION AND INSTRUCTION

Because of the dangers of participating in sports, it is important to follow coaches’ instructions regarding playing techniques, training and other team rules, etc. The Catholic Youth Organization strives at all times to provide qualified coaches to properly instruct, demonstrate and train participants in the safe and proper techniques of their sport. Information may be provided to coaches and players by means of written handouts and audiovisual presentations, especially in the sport of football where collision injuries are possible.

IV. STUDENT AGREEMENT TO OBEY RULES AND FOLLOW INSTRUCTION

Because of the dangers of participating in sports and to promote the purposes of the CYO program, I understand the importance of following coaches’ instructions regarding playing techniques, training and other team rules, etc. I agree to follow all such instructions and rules during my participation in CYO activities. I understand and agree that my parent(s) or guardian will be notified if I commit any infractions that require discipline or dismissal from my team. I understand that I may be disciplined or dismissed from my team if I do not obey CYO and team rules or follow coaches’ instructions.

Student Signature (type in name): Date:

V. MULTIMEDIA CONSENT WAIVER

I hereby authorize the Catholic Diocese of Kansas City in Kansas, and its agents to utilize photographic and/or video images of me or my child by the Catholic Diocese of Kansas City in Kansas. I understand that these images may not be sold or reused without the express consent of the Catholic Youth Organization of Johnson and Wyandotte County. In giving my consent, I hereby indemnify and hold harmless the Catholic Diocese of Kansas City in Kansas and it’s agents from any and all responsibility or liability. I understand that I will receive no compensation, should any photograph and/or video of me or my child be used.

Yes, I Approve (uncheck for No)

VI. PARENT/GUARDIAN CONSENT AND LIABILITY WAIVER

I give permission for my child (Type in student’s name) to participate in CYO activities during the 2011-2012 season. I agree that if my child fails to abide by the rules and instructions governing participation, my child may be disciplined, including dismissal from the team.

In consideration of the Catholic Youth Organization permitting my child/ward to try out for the Catholic Youth Organization Sports team and to engage in all activities related to the team, including, but not limited to, trying out, participating, playing, I agree on behalf of myself, my child’s other parent, or guardian, my child named above, our heirs, successors and assigns to release, hold harmless and defend the Catholic Youth Organization, its employees, agents, representatives, coaches, and volunteers from any and all claims, actions, or demands of every kind and nature whatsoever arising from or in connection with participation of my child/ward in any activities related to the Catholic Youth Organization team; and, further, I agree I am responsible for payment of all expenses for any athletic injuries; and provided further, I agree to compensate the Catholic Youth Organization,, its employees, agents, representatives, coaches, and volunteers for attorneys’ fees and expenses incurred as a result of any such injury or damages, unless such claim arises from the negligence of those released.

To the best of my knowledge, my child is in good physical and mental health and is physically and mentally able to participate in CYO activities. I assume all responsibility for the health of my child.

In the event of a medical emergency, I give permission to the CYO staff, coaches, volunteers or representatives to transport or arrange for transportation for my child to a health care facility for emergency medical treatment.

By submitting this registration form on line with the accompanying registration fee ($25.00) we acknowledge that we have read and understand all of the terms and conditions contained in this document and attest that all information entered is accurate and true. We understand that the information will be contained in a data base accessible ONLY to the parish or parishes for which the participant is participating and the CYO.

Parent/Guardian Signature ( type in name): Date:

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