Athlete Fall Classic Sign Up Form
Athlete Fall Classic Sign Up Form
Name
*
Name
First
First
Last
Last
Date of Birth
*
Gender
*
Male
Female
Phone
*
Second Phone
Email- All communications will be done via email
*
Emergency Contact Name
*
Emergency Contact Phone
*
Uniform Size
YS
YM
YL
S
M
L
XL
2XL
3XL
4XL
Practice & Tournament Information:
All practices are at McCart Fields 6:30-8 p.m. Bocce Ball: Tuesdays, Jul 22-Sep 16 Softball: Thursdays, Jul 24-Sep 11 Area events are at Sherman Park: Bocce Ball: Sunday, August 17 Softball: Saturday, August 16 State Fall Classic Sep 19-21 in Rapid City Please see handout on main page for full details
Softball Events (Select One)
*
Slow Pitch (Team)
Slow Pitch Unified (Team)
Coach Pitch (Team)
Tee Ball (Team)
Softball Skills (Individual)
No Softball
Bocce Ball Events (Select One)
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Bocce Ball Traditional Doubles (You and another athlete)
Bocce Ball Unified Doubles (You and a unified partner) Please list your partner and make sure your unified partner signs up as a volunteer
No Bocce Ball
Name of athlete partner or unified partner
Will athlete attend AREA Softball in Sioux Falls?
*
Yes
No
Will athlete attend AREA Bocce Ball in Sioux Falls?
*
Yes
No
Will Athlete attend State BOCCE BALL (Friday only) in Rapid City?
*
Yes
No
Will athlete travel to State BOCCE BALL by bus?
*
Yes
No
Will athlete eat Friday lunch at State BOCCE BALL?
*
Yes
No
Will athlete attend State SOFTBALL (Saturday & Sunday) in Rapid City?
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Yes
No
Will athlete travel to State SOFTBALL by bus?
*
Yes
No
Will athlete be staying in hotel with Fireworks at State SOFTBALL?
*
Yes
No
Will athlete eat lunch meal at State SOFTBALL on Saturday and Sunday?
*
Yes
No
Will athlete attend dinner at State SOFTBALL on Saturday evening?
*
Yes
No
For athletes staying with the Fireworks in the hotel
Fireworks volunteer CANNOT administer any medications. If you/your athlete requires assistance, a staff member or family/guardian member must come with to administer them. Who will that person be? This person should register as a volunteer (chaperone) If you/your athlete is required to have a One-on-One chaperone, who will that person be? This person should register as a volunteer (chaperone) If you/your athlete requires staff at all times, who will that staff member be? This person should register as a volunteer (chaperone)
Name of chaperone attending State with athlete:
Medical information is required at the start of each new event.
Completion of this section is required. This information allows us to ensure proper care during the overnight stays. This information will be kept confidential and will only be provided to the volunteers working directly with the athlete. The following information is requested to better assist the volunteers when caring for the athletes.
Food Allergies:
Environmental Allergies:
Medication Allergies:
Carry any emergency medications (such as EpiPen):
Who do you/your athlete live with?
*
Family
Independently
In Supportive Housing (Such as LifeScape, SEBH, VOA, etc)
If you/your athlete lives in supportive housing, what is the name of the house? (example: Ashgrove)
Email address for that house (example: ashgrove@lifescapesd.org)
Do you/your athlete receive any type of services from?
*
N/A- No services of any kind
LifeScape
Dakotabilities
Souteastern (SEBH)
Volunteers of America (VOA)
Resources for Human Development (RHD)
Family Support 360
Other- Please list
Other- Please list
Athlete needs assistance with:
Dressing
Toileting
Eating
Basic Hygiene(Such as brushing teeth, combing hair, etc)
Other- Please explain
Other- Please explain
Additional Helpful Information
Wheelchair bound
Needs Assistance with Walking/ Fall Risk
Visually Impaired
Hearing Impaired
Seizures
Requires Staff at All Times
NOTE: If an athlete requires staff at all times and is going to State, their staff member going to State will also need to complete a “Volunteer Sign-up Form” online as a chaperone. Please list below any additional information needed.
Participation and Attendance Requirements:
• Area participation is REQUIRED to participate and to attend State Fall Classic • Athletes participating in two sports (Bocce & SB) may miss up to 3 practices (4.5 hours) hours total between the two sports but no more than two practices (3 hours) within one sport • Athletes participating in only one sport can only miss 1 practice (1.5 hours) and the practice hours must be made up by attending a practice of the other sport. Call or text 605-336-0240 to schedule a missed practice. Missed time includes arriving late or leaving early from practice • Please call or text the Fireworks phone 605-336-0240, if you will miss a practice • Athletes that miss more than the allowed time will be scratched from participating in State Fall Classic
I have read the training requirements and understand the attendance policy for the Fall Classic season:
*
Yes
No
I have read and agree to the Athlete and Family Member Codes of Conduct:
*
Yes
No
Submit
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