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Youth Fall League 2019

Following the highly successful Summer League Charlotte GAA is pleased to announce the Fall league

When:

*****NOTE TIME CHANGE*****All sessions start at 9.00am and Run till 11:00Am

  • Saturday 10/5/19

  • Saturday 10/12/19

  • Saturday 10/19/19

  • Saturday 10/26/19

  • Saturday 11/2/19

  • Saturday 11/9/19

Where:

All Youth League events will be held at Ramblewood Soccer Complex

Cost:

New Player $40

If your child/children was registered and paid for the Summer league then no payment will be required.

Contacts

Youth Coordinator: Laura O’Meara

Club Secretary: Derek Kelly 

Club Treasurer: David Flanagan

In order to partake in our youth program you must complete Registration

Complete the form below and submit to the club then click the registration payment button below to complete payment if required

Charlotte James Connolly Youth GAA Gaelic Football Club Officers/Coaches/Mentors have been officially trained/certified in Gaelic Games and participate in bi-annual back ground checks to be able to work with Youth. 


Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Address *
Parent/Guardian Address
Parent/Guardian Phone *
Parent/Guardian Phone
Youth Member
Name *
Name
Date of Birth *
Date of Birth
Child 2
Child 2
Date of Birth
Date of Birth
Child 3
Child 3
Date of Birth
Date of Birth
Additional Emergency Contact
Additional information in case of emergency
Additional Emergency Contact Name *
Additional Emergency Contact Name
Emergency contact Number *
Emergency contact Number
Medical Information
Does the youth player named above have any Allergies (i.e. peanuts, medicine etc.) ?
Please List any Allergies
Is there any reason why the youth player named above is not physically capable of playing the Gaelic Games of Hurling and Gaelic Football (Gaelic Athletic Association) or able to exert physical energy or play contact sports?
Has the youth player named above had a medical physical by a Child Physician/Doctor or other medical professional in the last year?
Consent and Waiver
In order for your child to partake in the GAA Youth field you must provide consent and complete a waiver
Parent(s)/Guardian(s), and on behalf of the above named:- *
Parent(s)/Guardian(s), and on behalf of the above named:- We/I consent to the above Application and Medical Information Sheet, and to undertakings given by the Applicant and acknowledge receipt and agree to abide by the attached Code of Behavior for the playing of Gaelic games.
Waiver *
CHARLOTTE JAMES CONNOLLY’S GAELIC ATHLETIC ASSOCIATION RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT In consideration for participation in sanctioned club events, services, and programs of the CHARLOTTE GAA (hereinafter referred to as “CHARLOTTE GAA”) and/or any participation in any program affiliated with the CHARLOTTE GAA, without respect to location, I, for myself and any personal representatives, heirs, and next of kin, hereby acknowledge and agree to the following while at the CHARLOTTE GAA, regardless of location: 1. I HAVE, OR IMMEDiATELY UPON ENTERING OR PARTICIPATING WILL INSPECT AND CAREFULLY CONSIDER CHARLOTTE GAA PREMISES, FACILITIES AND/OR THE AFFiLIATED PROGRAM and entering constitutes an acknowledgement that I find and accept them as being safe and reasonably suited for the purpose of observation, use, or participation. 2. I HEREBY AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS the CHARLOTTE GAA, its directors, officers, employees, and agents (hereinafter referred to as “releasees”) and each of them from any loss, liability, damage, or cost that I may incur due to my/my child’s presence, upon, or about the CHARLOTTE GAA premises or in any way observing or using any facilities or equipment of the CHARLOTTE GAA or participating in any program affiliated with the CHARLOTTE GAA.   3. I ACKNOWLEDGE THAT PARTICIPATING IN CHARLOTTE GAA ACTIVITIES INVOLVES KNOWN AND UNANTICIPATED RISKS WHICH COULD RESULT IN PHYSICAL OR EMOTIONAL INJURY, PARALYSIS OR PERMANENT DISABILITY, DEATH, AND PROPERTY DAMAGE. I HEREBY ASSUME FULL RESPONSIBILITY FOR THE RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE or loss while in, about, or upon the premises of the CHARLOTTE GAA or location of a program affiliated with the CHARLOTTE GAA and release, waive, and covenant not to sue the releasees. Risks include, but are not limited to, broken bones, torn ligaments, or other injuries as a result of falls or contact with participants; death as a result of drowning or brain damage caused by near drowning in pools or other bodies of water; medical emergencies resulting from physical activity; and damaged, lost or stolen property. I understand such risks cannot be eliminated, despite the use of safety equipment, without jeopardizing the essential qualities of the activity. 4. I HEREBY AGREE THAT MY/MY CHILD’S PARTICIPATION IN THESE ACTIVITIES IS VOLUNTARY AND WE ELECT TO PARTICIPATE DESPITE THE RISKS. If at anytime I believe that event conditions are unsafe or that I or my child is unable to participate due to physical/mental conditions, I will immediately discontinue participation. 5. I REPRESENT THAT I HAVE ADEQUATE INSURANCE TO COVER ANY INJURY OR DAMAGE I OR MY CHILD MAY SUFFER OR CAUSE WHILE PARTICIPATING IN THIS ACTIVITY, or else I agree to bear the costs of such injury or damage myself. 6. I HEREBY AGREE THAT THE CHARLOTTE GAA MAY PHOTOGRAPH OR CAPTURE FOOTAGE OF ME OR MY CHILD AT THE CHARLOTTE GAA OR ON ANY AFFiLIATED CHARLOTTE GAA PROPERTY AND the CHARLOTTE GAA may use those photographs or footage for its marketing purposes and further agree to release both the CHARLOTTE GAA and releases from any claim or liability related to that use; waiving all claims for myself, my child and any heirs or next of kin. 7. I HEREBY AGREE THAT IN THE EVENT THAT I/MY CHILD NEED IMMEDIATE MEDICAL ATTENTION FOR INJURIES THAT OCCUR WHILE PARTICIPATING IN A CHARLOTTE GAA PROGRAM, and I am not present or able to communicate my desires at the time of injury, I authorize CHARLOTTE GAA staff to give me or my child reasonable first aid, and to arrange transport of myself or my child to a heath care facility for emergency care as needed. I expressly agree that this RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the law of the States of North Carolina and South Carolina and that if any portion thereof is held invalid the remaining portions shall remain in full legal force and effect. I HAVE READ AND VOLUNTARILY SIGN THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agree that no oral representations, statements, or inducement apart from the foregoing written agreement have been made.
Film/Photography/Social Media Consent *
Youth Players may be Filmed, or have Photos Taken while playing or training for team pictures, and promotional aspects. Video, Photos will be on Official GAA National/Regional/ and Club Websites, and Social Media Mediums for promotional reasons.I HEREBY AGREE THAT THE CHARLOTTE GAA MAY PHOTOGRAPH OR CAPTURE FOOTAGE OF ME OR MY CHILD AT THE CHARLOTTE GAA OR ON ANY AFFiLIATED CHARLOTTE GAA PROPERTY AND the CHARLOTTE GAA may use those photographs or footage for its marketing purposes and further agree to release both the CHARLOTTE GAA and releases from any claim or liability related to that use; waiving all claims for myself, my child and any heirs or next of kin.
Acknowledgment of ability to Play *
I (We) hereby attest the youth player named above is in proper physical condition to play the Gaelic Games of Hurling & Gaelic Football (Gaelic Athletic Association) and if in the event the youth player named above becomes unable to do so, will inform the Club Officers, Coaches, Mentors Immediately if any of the above changes to the youth player named above.
Code of Conduct *
I acknowledge receipt and agree to abide by the attached Code of Behavior for the playing of Gaelic games.
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