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    Urban Soccer Leadership Academy Champions Academy & Premier
    Registration Form

    *Each individual player must fill out a separate registration form
    (Cada jugador individual debe llenar un formulario de registro por separado)

    *Each individual player must fill out a Medical/Media Waiver prior to the start of practice.  You can download a copy in our Club Documents section or pick up a copy at any of our registration events.
    (    Cada jugador individuo debe llenar un médico / Medios Renuncia antes del comienzo de la práctica . Puede descargar una copia en nuestros documentos Club de sección o recoger una copia en cualquiera de nuestros eventos de registro .

    PERSONAL INFORMATION

    UNIFORM SIZING (please choose the correct size for each) :

    PLAYING EXPERIENCE

    CLUB FUNDRAISING COMMITMENT

    PER PLAYER COST AND SCHOLARSHIP DISCOUNTS

    2016-2017 USLA Academy & Premier Player Annual (Fall & Spring Seasons) Cost Breakdown
     For qualifying DI, SII, DII, DIII STYSA, WDDOA, AAYSA Teams (DOES NOT include any travel or tournament fee costs)
     
    ANNUAL COST / FEE PER PLAYER                                    $390
    *WITH SCHOLARSHIP APPLICATION APPROVAL           
     
    ANNUAL COST / FEE PER PLAYER                                    $780
    *NO SCHOLARSHIP           
     
    USLA CHAMPIONS- PREMIER PROGRAM INFORMATION
    Birth Years: 1999 through 2007
    Skill Level: Intermediate to Advanced
    Sanctioning Organization: Alamo Area Youth Soccer Association (AAYSA) OR Western District Division One Association (WDDOA)- STYSA
    Season(s) Commitment: Year-Round (fall and spring seasons)
    Tournaments: AAYSA or WDDOA Sanctioned (team selects and is responsible for entry fee)
    Structure/Philosophy: Competitive with Paid Team Licensed Trainer for all practices and games
    Training: Monday/Wednesday with Paid Team Licensed Trainer
    Cost with Scholarship*: $60 Registration Deposit + $40 due by the 15th of every month June through February + 1 season fundraiser
    Cost NON-Scholarship: $60 Registration Deposit + $80 due the 15th of every month June through February + 1 season fundraiser
    Financial Assistance: *Scholarship based on free or reduced lunch eligibility and when a scholarship application is submitted prior to September 1st
    Travel away from home game field: 50% +/- of games and tournaments
     
    PLAYER COMMITMENT:
    1-Year Term “Champions Code of Conduct and Team Commitment” contract:
    • Mutually agreed Player Fee Payment Plan (see chart below)
    • 5-STAR Champions Program Player Declaration
      • Live the Champions of Character Values: Integrity, Respect, Responsibility, Sportsmanship and Servant Leadership;
      • Earn and maintain a “B” average or higher in all classes every reporting period AND 97% Attendance at School;
      • Completion of a Team or Academy Community Service Project by season deadline;
      • Participate and engage in the USLA College-Career Player Pathway Program;
      • Research, discover and seek guidance from USLA Leadership on individual self-value and lifelong commitment..
    • Attend ALL trainings, games, tournaments and USLA events, meetings and orientations identified on USLA Master Schedule;
    • NO MORE THAN:  3 excused absences for trainings, and 2 excused absences for games/tournaments during a season.  All USLA events, meetings, and orientations are MANDATORY. 
     
    USLA COMMITMENT:
     If you are experiencing FINANCIAL HARDSHIP, please fill out the SCHOLARSHIP APPLICATION FORM for review.  Our DOA along with Board Treasurer will review and contact you in regards to approval, documentation, and any supplemental information needed.
    Si usted está experimentando dificultades financieras , por favor llene la SOLICITUD DE BECA para su revisión. Nuestra DOA junto con el Tesorero de la Junta revisará y se ponga en contacto en lo que respecta a la aprobación , la documentación , y cualquier información adicional necesaria .

    For players who are fulfilling the terms of their Champions Code of Conduct & Team Commitment contract as listed above, USLA will not refuse or drop any due to late payments or financial hardship.  Towards this effort, USLA offers a financial scholarships program and various payment plan options.  Financial Scholarships Applications Available during the registration period, for players meeting the following criteria:

    1. Provide proof of FREE OR REDUCED School Lunch program eligibility and/or student lunch school number for verification (50% Registration Fee Deduction);
    OR
    1. Provide a copy of your Federal Tax Return for 2015 showing household size and household family income.  Verification for Free or Reduced lunch will be determined off the Federal Lunch Program Eligibility Chart for the 2016-2017 year based on household size and income.  For example for a family of 4 the eligible household income is $44,000 or lower, per year (50% Registration Fee Deduction);
    2. For families with 3 or more siblings  registered in a USLA program team, and meet the eligibility criteria set forth under 1 or 2 above, an additional $100 per child deduction may be applied;
    3. Severe financial hardships will be reviewed on a case-by-case basis and a Financial Hardship Payment Plan may be recommended by the DOA/DOC and approved by the USLA Board;
    4. For severe financial hardships, a Volunteer / Community Service Work Plan may be offered to players/parents as negotiated by the DOA/DOC and approved by the USLA Board, for player registration fee credit;
    5. For players ages 16 and older, a Work-Play internship will be coordinated with USLA Business Partners to cover the full Annual Cost / Fee per Player of $780 for the program year.  Anything earned above the $780 may be retained by the player.

    ACCEPTANCE OF TERMS & CONDITIONS

    In consideration of the acceptance of my membership in Urban Soccer Leadership Academy of San Antonio, I, the participant and parent/guardian, agree as follows that once I electronically submit this form & payment:

    En consideración de la aceptación de mi membresía en Urban Soccer Academia de Liderazgo de San Antonio , yo, el participante y el padre / tutor , de acuerdo como se desprende que una vez que me presento electrónicamente este formulario y pago: 

    1. I understand that I or my child cannot play in any sanctioned soccer game until after this registration form and medical release has been validated and the registration data has been entered into the registration system. / (Entiendo que yo o mi hijo no puedo jugar en cualquier partido de fútbol sancionado hasta después de este formulario de inscripción y autorización médica ha sido validado y los datos de registro se ha entrado en el sistema de registro)
    2. I have reviewed the waiver/participation agreement attached and my signature affixed hereto indicates my agreement with such waiver/participation agreement. / (He revisado el acuerdo de exención / participación adjunta al presente y mi firma puesta indica que estoy de acuerdo con dicho acuerdo de exención / participación.)
    3. I am aware of USLA bylaws, policies, rules and regulations and agree to abide by them and to be bound by them. / (Soy consciente de los estatutos USLA, políticas , normas y reglamentos y estoy de acuerdo en cumplir con ellos y estar obligado por ellos.)
    4. I accept sole responsibility for my or my child’s personal possessions and athletic equipment. / (Acepto la responsabilidad exclusiva de las posesiones personales de mi o de mi hijo y el equipo atlético.)
    5. I acknowledge that I am in full understanding that if my child does not satisfy their Community Service Requirement, Fundraising compliance, or Grades Compliance, per their CHAMPIONS PLAYER COMMITMENT, that their player card may be revoked not allowing them to play, until in full compliance.   This is at the discretion of our DOA, per registration guidelines set forth in this registration packet and can be reviewed on a case by case basis per parent request. The final decision is made by the USLA Director of Administration & USLA Board of Directors. / (Reconozco que estoy en pleno entendimiento de que si mi hijo no satisface su requisito de servicio comunitario , el cumplimiento de recaudación de fondos , o los grados de cumplimiento , por su compromiso CAMPEONES DE JUGADORES , que su tarjeta de jugador puede ser revocado no permitir que los niños jueguen , hasta que en el pleno cumplimiento . Esto es a discreción de nuestra DOA , según las pautas de registro establecidos en este paquete de inscripción y pueden ser revisados ​​en una base de caso por caso por cada solicitud de los padres . La decisión final es tomada por el Director USLA del Consejo de Administración y Administración USLA.)
    6. I am aware that my child is rostered with USLA for a full season, August 1-June 30 and cannot play with another AAYSA/STYSA registered club in the same season.  Player cards & Transfer Release Forms will not be released or signed without Board of Directors, DOA and DOC approval. / (Soy consciente de que mi hijo se rostered con USLA para una temporada completa , Agosto 30 1 de junio y no se puede jugar con otro AAYSA / STYSA del club registrado en la misma temporada . cartas de los jugadores y las formas de transferencia de última hora no serán liberados o firmados sin Consejo de Administración , DOA y aprobación DOC.)
    7. I acknowledge that I have read this registration agreement in its entirety and that I have executed this registration agreement voluntarily./ (Reconozco que he leído este acuerdo de registro en su totalidad y que he ejecutado este acuerdo de registro de forma voluntaria)
    8. I understand that after the application is submitted; all Fees are NON-REFUNDABLE./ (Entiendo que después de que se haya presentado la solicitud ; todas las tarifas no son reembolsables.)
    ***USLA IS NOT responsible for meals, player cleats, shin guards or personal soccer ball.
          USLA no es responsable de las comidas, cornamusas jugador, espinilleras o balón de fútbol personal.

    NOTE:  Failure to complete fundraisers will result in player ineligibility AND a ban from USLA for all future seasons.
    NOTA: Si no se completa la recaudación de fondos se traducirá en el reproductor de inelegibilidad y una prohibición de USLA para todas las estaciones futuras.
URBAN SOCCER LEADERSHIP ACADEMY CHAMPIONS DEVELOPMENT REGISTRATION FORM
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