Long Island Futsal League

Long Island Futsal League 2022 Team Registration

Option:  

Required  Price: 
Description: 
 = Required Field

 Team Informtaion

 TEAM NAME 
 
 Division  
 
 
 
 LEAGUE RECORD
Name W L T
Age Div Result

 Comments 


 CONFLICT INFORMATION

Conflict Dates &/or Comments
-OR-
 You may choose 1 dates as conflict dates.
 Conflict 1 (MM/DD/YYYY):
  Conflict Comments: 
 

 Approvals

I understand that in addition to the league fees, each player must register and pay yearly insurance fee. The $10.00 per player fee and player releases are completed and paid online by the player/parent/guardian (P/P/G). Players will not be eligible to participate unless payment is received and released authorized.  Outdoor player registrations issued from US Club, AYSO, USYSA, State Associations. etc. are not valid for registration..

 Once the event begins, there is no refund of the fee.


6/2017

CRITICAL NOTICE- Double-check the name of the player and the date of birth (DOB) above to confirm they are input correctly or registration will not be valid.  Also, if the player has already registered and paid insurance player registration fee in the current year (8/1/2021 – 7/31/2022), to avoid having to pay again, you must enter the player information exactly as it was input the first time the player was input and paid for the current year.  Changing the player name or DOB from the previous registration will cause the system to recognize the player as a new player and will charge the fee again

 

6/2017


 


 

I, the Coach or Team Manager named above as Registrant, in consideration of accepting the Registrant for their Futsal programs and activities (collectively the “Programs”) and recognizing the risk of potentially significant physical injury occurring by participation in the Programs, including permanent disability or death, but not limited to, contraction of COVID-19 and other viruses); emotional distress; property damage; permanent disability; paralysis; or death (collectively, “Risks”). 

Assumption of Risk. Applicant acknowledges that the proposed use of school facilities may expose Applicant and its owners, members, officers, employees, coaches, and/or agents to certain risks including the potential risk of transmission of COVID-19, which is extremely contagious and spreads easily through person-to-person contact. Applicant acknowledges that operating or participating in the proposed use of school facilities could increase the exposure and risk of contracting COVID-19 and that such exposure or infection may result in personal injury, illness, permanent disability and death to Applicant's owners, members, officers, employees, coaches, and agents, and to others. Applicant is voluntarily operating and participating in the proposed use of school facilities with knowledge of the risks, hazards, and other dangers involved.

 I understand that the Risks may be caused or contributed to by my own actions or inactions, the actions or inactions of other participants, bystanders or Long Island Futsal staff, the conditions and settings in which the Activities take place, or the alleged or actual negligence of the Releasees. I understand that the description and list of Risks in this Agreement is not complete, and that I may encounter risks not specified herein, known or unknown, in connection with the Activities. WITH A FULL UNDERSTANDING AND APPRECIATION OF THE FOREGOING, I VOLUNTARILY AGREE TO ASSUME THE FOREGOING RISKS AND ALL RESPONSIBILITY FOR ANY LOSSES, COSTS, AND DAMAGES I INCUR AS A RESULT OF, OR IN CONNECTION WITH, THE ACTIVITIES. myself and Registrant, do knowingly and freely assume all such risks, both known and unknown, and assume full responsibility for the Registrants participation in the Programs. Further, I, for myself and Registrant, and on behalf of our respective heirs, assigns, personal representatives and next of kin, do hereby release, indemnify and hold harmless LONG ISLAND FUTSAL LEAGUE , its affiliated organizations and sponsors, and each of their employees, volunteers, agents, other participants, hosts, sponsors, advertisers, and the owners of the premises upon which the Programs are held (collectively, the "Releases"), with respect to any and all injury, disability, death, or loss or damage to person or property incident to Registrants participation in the Programs, and/or being transported to or from the same, which transportation I hereby authorize, and whether arising from the negligence of the Releases or otherwise, to the fullest extent permitted by law. I hereby warrant and represent that the Registrant has received a physical examination by a physician and has been found physically capable of participating in the Programs with no reservations or restrictions. I, for myself and Registrant, do hereby consent to have a doctor of medicine or dentistry, a licensed nurse or emergency technician provide Registrant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I agree to inform the Long Island Futsal League if I become aware that my child or any other participant in the league tests positive for COVID-19.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY

LONG ISLAND FUTSAL LEAGUE

SAFETY PLAN FOR THE UTILIZATION OF THE  GYMNASIUMS OF THE CONNETQUOT SCHOOL DISTRICT

·      Social Distancing – all participants will be advised to practice social distancing of three feet wherever possible.

·      Personal Protective Equipment – All participants must wear face masks at all times.  Referees will be required to use an electronic whistle. Those who are not wearing PPE will be asked to leave the facility.  If an individual refuses to wear a mask when asked, the game(s) will be stopped (time will not be made up), school security and a Long Island Futsal League Officer will be notified.

·      Water – participants can bring clearly labeled water bottles with them for their match and not share with any other individual.  All water bottles and any other team articles are to be removed from the sidelines after the match by the respective teams.  Referees and Long Island Site Monitors are to ensure compliance.

·      Site Safety Monitor - The Long Island Futsal League will hire site monitors for each gymnasium to ensure compliance with this safety plan and to immediately report any problems (also maintain a log of activities) to the appropriate individual (i.e. referee, school and LIFL official).  All staff of the Long Island Futsal League (Referees and Site Monitors) will be required to be fully vaccinated or provide weekly prior to the match proof of a negative COVID test.

·      No Handshakes/Celebrations – the referees will ensure compliance that teams do participate in post game handshakes and celebrations during and after matches.

·      Spectators – will be limited to two per participating player.  Children who are not participating players will not be allowed in the building.  Senior citizens or others with compromised immune systems will be advised not to attend the league games.  All participants will be advised not to enter the school facility if they are exhibiting any signs of illness such as sneezing coughing, shortness of

       breath, fatigue, muscle body ache, headache, new loss of smell or taste, sore throat, congestion or runny nose, have fever, nausea, vomiting, chills, diarrhea or just generally do not feel well

      .  All participants must   stay home if they are feeling sick or experiencing any COVID-19 symptoms or fever of 100.4 or higher. Participants who have a fever of 100.4 or higher must be cleared by a physician and program director before re-entering activity.

? If there has been any known exposure to your family, please keep your child at home for two weeks and let the program director know. I attest that I have received, read, understand and agree with the  terms and conditions contained herein.

I attest that I have received, read, understand and agree with the terms and conditions contained herein.    I agree to abide by the enclosed COVID-19 risk mitigation strategies at all times while on, and using, Connetquot Central School District facilities. I understand such risk mitigation strategies are subject to change in accordance with updated local, state and Federal guidelines and avail myself to adhere to such updated guidance as it becomes available. I further agree to submit my group’s health and safety plan which I understand is subject to detailed review.

 Approval Signature   

 CONTACT INFORMATION

Note: If you have previously registered a team with HTGSports and would like to have access to the same players you had on your roster previously you must use the same email address for the team manager that you have used before.
 COACH
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 
TEAM MANAGER  
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 

 Refund Policy

Thank you for registering for the Long Island Futsal  2022 Winter League   After the registration deadline of December 11, 2021 no refunds will be given.  Refunds will also be given if there is not a suitable division for the team

 Contact Info