Bent County Community Center : Our Programs : Youth Programs : Soccer

Divisions: ( practice dates/times/ Coaches)

Pre-k Practices dates/ time= ( Monday/ Friday 415p-445pm) Coach Mike Pena
K-2 Practices dates/ time=(Wednesday/ Thursday 430p-5pm) Coach TBD
3-4 Practices dates/ time=(Tuesday/Thursday 5pm-545pm) Coach CJ Gallegos
5-6 Practices dates/ time= (TBD) Coach TBD

Timeline:

4.13.21= Start Soccer Registration (Fee $35.00/ BCRL/ If you need a shirt) ( $20.00 if you have a rec shirt already) Pay at the BC Community Center.

4.19.21= Start Soccer Practices

4.30.21= End Soccer Registration

Games: We will have a 3 week season and as of now we will travel to all games. Schedule is pending and we will share once it is final.

REGISTRATION FORM:

Name Of Player

First Name

Last Name

Phone Number (Required)

Parent Email (Required)

Address

Country

Address Line 1

City

State

Postal Code

Emergency Contact:

First Name

Last Name

Emergency Contact Phone # (Required)

Select a TEAM: ( current grade)

Pre School Soccer (ages 2+ )
K-2 Soccer
3-4 Soccer
5-6 Soccer

shirt options (Required)

Fees= (shirt needed $35.00) (you have a shirt $20.00)

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please read (Required)

BC Release of Liability: (required )

I hereby release and absolve the Bent Count Recreation League, the City of Las Animas, Bent County and all its employees or agents of same from any claims arising from injury received by the participant involved in this activity, whether due to negligent acts or omissions of said parties, other participants or otherwise. In case of accident or illness, I hereby authorize a representative of the BCRL to use his/her judgment in obtaining immediate medical care. I understand that some teams may travel to other towns for games and/or tournaments. I understand that it is my responsibility to provide or arrange transportation for my child(ren) to out of town games.  Participant Obligations: As with any extracurricular activities, education comes first.  All participants must attend a full day of school before participating in any BCRL organized event.      By signing below as parents/guardians/participants, you agree to the above conditions as listed on this form. Failure to comply may result in any or all of the following: suspension of participation in upcoming events, dismissal from the team, or the participant and or family no longer permitted to participate in BCRL sponsored events.  General Participant Waiver Acknowledgement and Waiver of Liability City of Las Animas, Las Animas School District, Bent County and  Bent County Recreation League  Event/Activity:  Bent County Youth Football As a participant in the above named event or activity, I am doing so at my sole risk.  Insurance coverage of any type is not provided by the county, its Board of County commissioners, appointed boards, its employees, its agents or its assigns, regarding any injury, loss of liability that may arise through the participation in this activity. I fully understand and agree that if I use any of my personal property while participating in this event or activity, the county will not provide insurance coverage or be financially responsible should damage or loss occur. By signing this Acknowledgement and Waiver of Liability, I agree to abide by all rules and regulations pertaining to this activity.  I further agree and understand that the county is not responsible for my actions and I release and absolve the county from any liability associated with this event.

Name of Parent: Authorizing registration

First Name

Last Name

Soccer 2021

Youth Programs

REGISTRATION FORM:

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