Bent County Community Center : Our Programs : Youth Programs : Youth Fall Sports

FALL YOUTH SPORTS REGISTRATION: Soccer / Outdoor Volleyball

PLEASE COMPLETE THE ELECTRONIC REGISTRATION FORM BELOW.

This registration form will be the official form for BC Youth Sports moving forward. The parent should receive an email confirming your child was registered to play.

THIS SEASON IS FULLY FUNDED BY OUR LOCAL SPONSORS! Please thank our sponsors for supporting our programs during this unique year.

2020 Sponsors: "Platinum"

Thaxtons - First National Bank - Dairy Queen - First Insurance Services - SECO - Health Mart- AutoWorld.

FEE: None.
SHIRTS: The BCRL will provide shirts to each player in each sport. ( extra shirts fee)
SOCCER Practice fields: k-2 ( Comm Center Grass area) 3-4 (LA Elem. Field) 5-6 ( LA Elem. Field) Times TBD. .
TEAM practices will be staggered to ensure we follow safe distancing guidelines.
Each team will have their own equipment.
Games: Local only. Schedules TBD by the number of players in each sport.
Coaches will receive one free participant fee per team they coach.
Coaches will receive a FREE Quarterly Family Membership to the Bent County Community Center! ($100.00 value!).
Season Begins September-19th and ends October-17 . subject to change

Name of Player

First Name

Last Name

Date of Birth (player) (Required)

Date of Birth ( player)

Address

Country

Address Line 1

City

State

Postal Code

z1c1wn67c0t5

Parent Name

First Name

Last Name

Primary Phone number (Required)

Primary Cell #

Email of parent (Required)

Emergency Contact

Emergency Contact ( Other than Parent)

First Name

Last Name

Emergency Contact Cell # (Required)

PLEASE SELECT SPORT:

Volleyball & Soccer practice schedules

Soccer ( By current grade)

Soccer (pre k-6) Coed

Girls Volleyball ( outdoors)

Player Shirt Size ( NO FEE) (Required)

Select Player Shirt Size

Additional Shirts ( fees apply)

If you need more than one of any size please make a comment below

T shirt ($15.00) Long Sleeve T ( $18.00) Sweat Shirt ( $28.00) Pay at the Comm Center

Parent Shirts ( fee required)

Comments Additional Shirt order:

Liability Waiver (Required)

PLEASE READ TO SUBMIT (Liability Waiver )

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

First Name

Last Name

Volunteer to Coach ( select the Team)

Soccer Coach (FREE FAMILY PASS)

Volunteer to Coach ( select the Team)

Baseball Coaches (FREE FAMILY PASS)

BC Youth Fall Sports

Youth Programs

Our "Platinum" Sponsors 2020. Thank you!