CONGRATULATIONS…on your selection to the
Idaho Timber/ Thorns Olympic Development State Pool!!
There are a few simple steps that you are responsible to complete in order to proceed as a State Pool athlete.
PROGRAM FEE (DUE WITHIN 15 DAYS OF SELECTION TO THE POOL)
USYSA Reg. Player Fees
$375.00 for 1999 - 2004’s for USYSA Registered players (payment option listed online)
$425.00 for 1999 – 2004’s for NON-USYSA players (payment option listed online)
NON USYSA PLAYERS (You will not have a US Youth player card)
STEP #1:
PLEASE OPEN THE LINK BELOW TO SUBMIT YOUR REGISTRATION & PAYMENT. THIS WILL
SECURE YOUR SPOT IN THE STATE POOL.
https://www.gotsport.com/asp/application/easyreg/?ProgramID=41676
SELECT EASY REGISTRATION
THIS FEE COVERS ALL DTC Training sessions, 2 State Pool Jerseys, One Short, One pair of socks, and State
Events. (You will also find an ODP SCHOLARSHIP APPLICATION and information in the ODP section of the
IYSA website.)
PLEASE NOTE: OTHER POSSIBLE CHARGES INCLUDE:
ODP CHAMPIONSHIPS – JANUARY 7-10th – Approximately $800.00 - $950.00
IDAHO SUB REGIONAL MARCH 18-20th – Approximately $85.00 - $100.00
REGIONAL CAMP (By Invitation Only) – JUNE/JULY – Approximately $525.00 + individual transportation
Step #2:
PLEASE GO ONLINE TO THE IYSA WEBSITE, CLICK ON ODP AND DOWNLOAD THE STATE POOL
PAPERWORK. FILL IT OUT AND BRING IT WITH YOU TO THE NEXT TRAINING OR YOU CAN MAIL
IT TO YOUR TEAM ASSISTANT (TA). EITHER WAY IS JUST FINE.
STEP #3: ADD THE IYSA-ODP WEBSITE www.idahoyouthsoccer.org TO YOUR “FAVORITES” AND
CHECK REGULARLY. DATES FOR UPCOMING TRAINING SESSIONS AND EVENTS AS WELL AS
CHANGES WILL BE POSTED HERE FIRST AND IS SUBJECT TO CHANGE.
JERSEYS:
YL
AS
AM
SHORTS:
YL
AS
AM
BOYS SOCKS SMALL 13C-4Y
GIRL SOCKS SMALL 4-6
AL
AXL AXXL (circle one…Boys Adidas/Girls Nike)
AL
AXL AXXL (circle one…Boys Adidas/Girls Nike)
MEDIUM 5-81/2 LARGE 9-13 (circle one…Boys Adidas)
MEDIUM 6-10
LARGE 10-13 (circle one…Girls Nike)
-----------------------------------------------------------------------------------------------------------------------PLAYER NAME _________________________DATE OF BIRTH _______ GENDER: ___M ___F
PAYMENT INFORMATION
PAYMENT AMOUNT: $_______________
PAYMENT TYPE: Check #_______ Credit Card#______________________________________
Credit Card Type: _____Visa _____MasterCard
Exp. Date: __/__
Name as it appears on Card: _________________________________________________
Statement Zip Code: ___________
3 digit code __________ Phone Number: _______________________
2015-2016
US YOUTH SOCCER REGION IV OYLMPIC DEVELOPMENT PROGRAM
PLAYER MEDICAL RELEASE FORM
Player’s Name_________________________________________ Date of Birth___________________
Address__________________________________City_____________State_______Zip___________
Home Phone________________________
Gender M ____ F ____
EMERGENCY INFORMATION
Mother’s Name_______________________Wk Ph(____)_____________Hm PH(____)___________
Father’s Name_______________________Wk Ph(____)______________Hm PH(____)___________
IN AN EMERGENCY WHEN PARENTS CANNOT BE REACHED, PLEASE CONTACT:
Name______________________________ Hm Ph(____)______________Cell PH(____)___________
Name______________________________ Hm Ph(____)______________Cell PH(____)___________
Allergies___________________________________________________________________________
Other Medical Conditions_____________________________________________________________
Player’s Physician____________________ Hm Ph(____)______________Wk PH(____)___________
Medical and/or Hospital Insurance Co._______________________________Phone(____)__________
(Attach Copy of Insurance Card)
Policy Holder’s Name__________________________________Policy Number___________________
PARENT’S APPROVAL AND MEDICAL RELEASE
Recognizing the possibility of physical injury associated with soccer and in consideration for the USSF/US Youth
Soccer and it’s affiliates accepting the registrant for its soccer programs and activities (the “Programs”), I hereby
release, discharge and/or otherwise indemnify the USSF/US Youth Soccer, it’s affiliated organizations and sponsors,
their employees and associated personnel, including the owners of fields and facilities utilized for the Programs and/or
being transported to or from the same, which transportation I hereby authorize.
My son/daughter has received a physical examination by a physician and has been found physically capable of participating in the
Programs. I hereby give consent to have an athletic trainer and/or doctor of medicine or dentistry provide my son/daughter with medical
assistance and/or treatment and agree to be responsible financially for the reasonable cost of such assistance and/or treatment.
PARENT/GUARDIAN NAME:
_________________________________________________________________________
(Please Print)
SIGNATURE OF PARENT/GUARDIAN_____________________________________DATE________________
ODP Player/Parent Letter of Commitment
The purpose of Idaho Youth Soccer’s Olympic Development Program (ODP) is to identify, develop and prepare our players
for higher levels of competition (e.g. state, regional and national teams; collegiate and, perhaps someday, professional-level
play). To achieve these goals, it is important that each player and his/her parent or guardian understand the level of
commitment and code of conduct required to allow this caliber of program to be successful.
I, __________________________________________________, hereby agree to adhere to the above philosophy and uphold
the following regulations as set forth by Idaho Youth Soccer and the Olympic Development Program for the 2015-2016
seasonal year.
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As a State Pool player it is expected that you will attend all trainings & events. If you are going to miss
training it is your responsibility to email your age group coach prior to event (list on the website) & cc the
ODP TA. Make sure you explain the reason for the absence. An absence will only be excused for a
verified club event or illness. Also if selected to the State Team you will attend the regional events you are
invited to.
Abide by the rules and directives of Idaho Youth Soccer, USYS, USSF and FIFA.
Adhere to the training and competitive curriculum set forth by the ODP Staff.
Conduct yourself in a manner that will foster respect to Idaho Youth Soccer and ODP (e.g., profanity, conduct,
dress, etc.).
Pay all fees [in a timely manner] as required by Idaho Youth Soccer, ODP and other individual team commitments.
Be respectful to teammates, opponents, officials, spectators and the coaching staff.
DO NOT use alcohol, tobacco products or any other illegal substances at any time.
Idaho Youth Soccer emphasizes that our ODP teams should be examples to all players, coaches and parents statewide. We
will show respect to everyone on and off the field. It is the duty of the player to adhere to these values.
I understand that my actions on and off the field affect not only my personal well-being, but can also interfere with
the level of unity required to keep my team and myself successful.
I acknowledge that my conduct can be evaluated at any time by Idaho Youth Soccer’s State Technical Director,
Board of Directors, ODP Administration and failure to comply may result in immediate dismissal from the ODP and
other Idaho Youth Soccer programs.
I have read and agree to the above (please sign and fill out below):
Player Signature ____________________________________ Date _____________
Parent Signature ____________________________________ Date _____________
Note: An approved and/or signed commitment letter must be on file with the Idaho Youth Soccer Association’s
Olympic Development Program before the player is eligible for participation.
2015/2016
PARTICIPANT CODE OF CONDUCT
ALL PARTICIPANTS MUST AGREE TO ACCEPT AND ABIDE BY THE RULES OF THE PROGRAM
PLAYERS PARTICIPATING IN THE OLYMPIC DEVELOPMENT PROGRAM WITH THE US YOUTH
SOCCER ARE EXERCISING A PRIVILEGE AFFORDED THEM BY US YOUTH SOCCER IN PURSUIT OF
REGIONAL AND NATIONAL RECOGNITION AS YOUTH PLAYERS. THESE PLAYERS MUST EXHIBIT
THE MATURITY TO BE SUCCESSFUL OF THIS PURSUIT. THUS, THE FOLLOWING GUIDELINES AND
RULES SHALL APPLY IN ALL ACTIVITIES WITHIN THE OLYMPIC DEVELOPMENT PROGRAM (ODP).
1.
GENERAL GUIDELINES:
--PLAYERS ARE EXPECTED TO CONDUCT THEMSELVES AT ALL TIMES IN A MANNER, WHICH IS IN
KEEPING WITH REPRESENTING US YOUTH SOCCER, AND WILL NOT BRING DISCREDIT UPON THE
ASSOCIATION.
--WHEN
TRAVELING WITH THE ODP PROGRAM, EACH PLAYER IS EXPECTED TO DRESS
APPROPRIATELY AS BEFITS REPRESENTING US YOUTH SOCCER OR AS DIRECTED BY THE
ADMINISTRATOR AND COACH.
--RESPECT FOR PROPERTY OF OTHERS, ADHERENCE TO RULES AND GUIDELINES AS SPECIFIED
HERE OR BY THE COACH/ADMINISTRATOR, AND OBSERVANCE OF STATE AND FEDERAL LAWS
ARE REQUIRED FOR PARTICIPATION IN THIS PROGRAM.
2.
DISCIPLINE RULES:
SUBSTANCE USE AND/OR POSSESSION THEREOF – DRUGS, ALCOHOL, AND/OR TOBACCO (BY
MINORS) IS CAUSE FOR IMMEDIATE DISMISSAL FROM THE PROGRAM.
B) PERSISTANT IRRESPONSIBILITY AND DISRESPECTFUL BEHAVIOR IS CAUSE FOR DISMISSAL
FROM THIS PROGRAM.
C) DESTRUCTION OF PROPERTY OR VIOLATION OF STATE AND FEDERAL LAWS IS CAUSE FOR
DISMISSAL FROM THE PROGRAM.
D) FAILURE TO COMPLY WITH ANY AND ALL EVENT, TEAM, OR SPECIFIC ACTIVITY RULES
(CURFEW, DRESS CODE, ATTENDANCE, SCHEDULES, ETC), MAY BE CAUSE FOR DISCIPLINARY
ACTION. PERSISTANT FAILURE WILL BE CAUSE FOR DISMISSAL FROM THE PROGRAM FOR THE
REMAINDER OF THE CURRENT SEASON OF THIS PROGRAM AND COULD AFFECT A PLAYERS
FUTURE PARTICIPATION.
A)
PLEASE NOTE: IF DISMISSAL FROM THE PROGRAM OR AN EVENT OCCURS WHILE TRAVELING,
THE PLAYER MAY BE SENT HOME IMMEDIATELY AT THE PARENT’S COST AT WHATEVER
MEANS IS MOST CONVENIENT FOR THE PROGRAM ADMINISTRATORS. NO REIMBURSEMENT OF
PROGRAM FEES WILL BE MADE TO THE DISMISSED PLAYER OR THE PLAYERS FAMILY.
WE, THE UNDERSIGNED, HAVE READ, UNDERSTAND AND AGREE TO ABIDE BY THE ABOVE
RULES AND GUIDELINES. WE ALSO AGREE TO ACCEPT ACTIONS TAKEN FOR FAILURE TO ABIDE
BY THESE RULES AND GUIDELINES.
PRINT PLAYERS NAME
SIGNATURE OF PLAYER
DATE
PRINT PARENT/LEGAL GUARDIAN NAME
SIGNATURE OF PARENT/LEGAL GUARDIAN
DATE