Kidsplay

ASPIRE will begin enrolling for 2017-18

ON MAY 30, 2017

Beginning May 30, register ONLINE by clicking the button below:

Registration Form

Only online registration will be accepted.  Paper registration forms will declined.

 

LEARN’s KidsPlay program provides an organized gender specific athletic league for boys and girls in grades 5th – 8th. Coaches are trained in each sport and students participate in organized league play in Basketball, Olympic Team Handball, Cross Country and Flag Football.
Financial support for this year’s leagues comes from El Monte City School District to provide organized sports opportunities for their school district’s youth who might not have the opportunity to play otherwise.
The emphasis of KidsPlay is to provide an opportunity to play, learn and develop confidence in learning new and healthy lifestyle skills. All El Monte City School District sites with ASPIRE and ASPIRE Plus programs field teams in the above mentioned sports at no cost to students.  Students register at their school site with their ASPIRE Site Coordinator.
KidsPlay is also open to any school wishing to participate in any of the the KidsPlay leagues for a fee.  To learn more about registering your non-ASPIRE school into our leagues, please email gabriel@learnla.org or call Gabriel at (562) 945-0150.

The Numbers in 2016-17

625 Youths          52 Teams          12 Youth per Team

The Leagues in 2016-17

6 Weeks          12 Practices          4 Games          1 Championship

The Sports Seasons in 2016-17

Flag Football
September 6 – October 20, 2016
Cross-Country
October 24 – December 16, 2016
Basketball
January 9 – February 23, 2017
Olympic Team Handball
Registration: February 27 – March 10, 2017
Practice Only: March 13 – March 24, 2017
Practice & Games: March 30 – May 4, 2017
Championship: May 11, 2017

Program Sites in El Monte City School District

Cleminson, Cherrylee, Columbia, Cortada, Durfee, Gidley, Legore, New Lexington, Potrero, Rio Hondo, Rio Vista, Shirpser, Wilkerson, and Wright

Program Contact Information

Gabriel Arellanes
KidsPlay Coordinator
gabriel@learnla.org
(562) 945 – 0150
If you would like more information on how you could help support LEARN’s programs, please visit our donation page.
LEARN is an educational non-profit organization committed to providing equal opportunity for all individuals.  All programs, activities, and practices shall be free from discrimination, harassment, intimidation and bullying based on race, color, ancestry, national origin, ethnic group identification, age, religion, marital or parental status, pregnancy, physical or mental disability, sex, sexual orientation, gender, gender identity or expression, or genetic information; the perception of one or more of such characteristics; or association with a person or group with one or more of these actual or perceived characteristics.  This nondiscrimination policy applies to all acts related to program activity or program attendance within any program operated by LEARN at any school or district.

Kidsplay Registration Form 2017-18


STUDENT INFORMATION

Listed below are the KidsPlay sports for 2017-2018 and there scheduled dates for beginning and end of season. PLEASE NOTE: Dates may change:   

Name:

Date of Birth:

Grade Level in 2017-18:  

Gender:

Shirt Size:

Address:

Home Phone Number

Cell Phone Number:

Student-Athlete Email:   

Name of Child’s School:  

 

PARENT/GUARDIAN INFORMATION

Parent/Gardian Name 1:  

Parent/Guardian Address 1 (If different from student):   

Parent/Guardian Email 1:   

Parent/Guardian Mobile 1:   

Parent/Guardian Home 1:    

Parent/Gardian Name 2:   

Parent/Guardian Address 2 (If different from student):   

Parent/Guardian Email 2:   

Parent/Guardian Mobile 2:   

Parent/Guardian Home 2:   

 

PARTICIPANT MEDICAL HISTORY & EMERGENCY INFORMATION 

If your son/daughter is required to be administered medication during program hours, an “Authorization to Medicate” form must be completed and submitted to LEARN. The form requires the physician’s signature. Click HERE (http://www.learnla.org/forms/medicate) to open another window to view and download the printable form. A paper copy of this form can also be obtained from the Site Coordinator. Please follow the completion instructions on the form.

Physician:    

Telephone:   

Medical Insurance:   

Policy Number:  

Medical Conditions:   

Allergies:   

Medications:   

 

EMERGENCY CONTACT AND ADULTS AUTHORIZED TO PICK-UP STUDENTS 

LEARN will include the names of both parents/guardians listed on this Registration Form as Authorized Adults in the student information system. LEARN will only remove a parent from the student information system with a legal document that instructs that action, such as valid court documentation that restricts a birth parent’s access to a child. The parent or legal guardian of a student must authorize any other adults they will permit to take physical custody of their child when picking them up from the program. Such authorization must be provided on this form. All authorized adults will be entered into the student information system as being approved by the parent/legal guardian. Only the parent/legal guardian may request changes to the list of authorized adults in the student information system. Authorized adults must produce valid, unexpired, photo identification to LEARN sta . Adults who are not able to produce valid identification will not be allowed to pick-up a student from the program, regardless of whether the adult’s name appears on this form or in the LEARN student information system as an emergency contact or authorized person. It is the sole responsibility of the parent or legal guardian to ensure that LEARN has the correct information for Emergency Contacts and Authorized Adults.

Emergency Contact Name 1:    

Emergency Contact Phone 1:   

Emergency Contact Name 2:    

Emergency Contact Phone 2:   

Emergency Contact Name 3:    

Emergency Contact Phone 3:   

Adults Authorized Name 1:   

Adults Authorized Phone 1:  

Adults Authorized Name 2:   

Adults Authorized Phone 2:  

Adults Authorized Name 3:   

Adults Authorized Phone 3:  

 Please note that if your child is going to be picked up by an individual not listed bellow, a parent/guardian must call to authorize the pick-up via phone. 

 

CODE OF CONDUCT FOR LEARN STUDENT-ATHLETES AND PARENT/GUARDIAN 

Please read the Code of Conduct with your LEARN Student- Athlete

Trustworthiness 

TRUSTWORTHINESS — Be worthy of trust in all you do. INTEGRITY — Live up to high ideals of ethics and sportsmanship and always pursue victory with honor. Do what’s right even when it’s unpopular or personally costly. HONESTY — Live and compete honorably. Don’t lie, cheat, steal or engage in any other dishonest or unsportsmanlike conduct. Plagiarism or cheating is not acceptable. RELIABILITY — Do what you say you will do. Be on time to practices and games. LOYALTY — Be loyal to your school and team. Put the team above personal glory.

Respect

RESPECT — treat all people, including the coach and your teammates, with respect at all times. Demonstrate an appropriate demeanor that reflects self-control and an unwavering commitment to fair play. CLASS — Live and play with class. Be a good sport. Be gracious in victory and accept defeat with dignity. Help fallen opponents, compliment extraordinary performance, and show sincere respect in pre- and post-game rituals. DISRESPECTFUL CONDUCT — Don’t engage in disrespectful conduct of any sort including profanity, obscene gestures, offensive remarks of a sexual nature, trash-talking, taunting, boastful celebrations, or other actions that demean individuals or the sport. RESPECT FOR OFFICIALS — Treat game officials with respect. Don’t complain about or argue with calls or decisions during or after an athletic event.

Responsibilities 

IMPORTANCE OF EDUCATION— The primary responsibility of a student-athlete is academic achievement. Be a student first, and commit to earning your diploma and getting the best education you can. Not achieving passing grades will result in your suspension from the team until the deficiency is cured. Parents, commit your child to earning a diploma and getting the best possible education. Be honest with your child about the likelihood of getting an athletic scholarship or playing on a professional level. Reinforce the notion that many universities will not recruit student-athletes who do not have a serious commitment to their education. Be the lead contact for college and university coaches in the recruiting process. ROLE MODELING— Remember, participation in sports is a privilege, not a right, and that your student athlete and the parent/guardian are expected to represent the school, coach and teammates with honor, on and off the court/field. Consistently exhibit good character and conduct yourself as a positive role model. SELF-CONTROL— Exercise self-control. Don’t fight or show excessive displays of anger or frustration. Have the strength to overcome the temptation to retaliate. HEALTHY LIFESTYLE— Safeguard your health. Eat healthy foods and don’t use any illegal or unhealthy substances, including alcohol, tobacco, drugs and some over-the-counter nutritional supplements, as well as of unhealthy techniques to gain, lose or maintain weight. INTEGRITY OF THE GAME— Protect the integrity of the game. Don’t gamble or associate with or deal with professional gamblers. SEXUAL CONDUCT— (FOR PARENTS) Sexual or romantic contact of any sort between students and adults involved with interscholastic athletics is improper and strictly forbidden. Report misconduct to the proper authorities.

Fairness

FAIRNESS AND OPENNESS — Live up to high standards of fair play. Be open- minded, always be willing to listen and learn.

Caring

CONCERN FOR OTHERS— Demonstrate concern for others. Never intentionally injure any player or engage in reckless behavior that might cause injury to yourself or others. TEAMMATES — Help promote the well-being of teammates through positive counseling and encouragement or by reporting any unhealthy or dangerous conduct to coaches. CARING ENVIRONMENT — Consistently demonstrate concern for student-athletes as individuals and encourage them to look out for one another and think and act as a team.

Citizenship

LAYING BY THE RULES — Honor the spirit and the letter of rules. Teach your children to avoid temptations to gain competitive advantage through improper gamesmanship techniques that violate the highest traditions of sportsmanship.Know the rules and follow all the game and competition rules. Encourage others to play by the rules, too.

ACKNOWLEDGMENT OF CODE OF CONDUCT 

FOR THE STUDENT: I have read and understand the requirements of this Code of Conduct and acknowledge that I may be disciplined if I violate any of its provisions. Disciplinary actions may include: (1) verbal warning; (2) phone call to parents; (3) suspension from game(s); and/or (4) removal from the team. Actions may be taken, not necessarily in this order, on a case-by-case basis. FOR THE PARENT: I have read and understand the requirements of this Code of Conduct and acknowledge that I may be disciplined if I violate any of its provisions.

 

PROGRAM DESCRIPTION & AUTHORIZATION TO PARTICIPATE 

My son/daughter listed in section 1 of this form has my permission to participate in LEARN’s KidsPlay Sports League under the supervision of the LEARN Coaching Sta . Games will be held during after school hours and transportation to/from game sites will be provided by LEARN. I understand that my son/daughter will receive a KidsPlay uniform and I am required to return this uniform back to his/her coach at the end of the sports season. I agree to pay a $25 replacement fee for an unreturned uniform. I agree to direct my child to cooperate and conform to the Student Athlete Code of Conduct and to the instructions of the LEARN/KidsPlay Coach, sta , and referees. As a parent, I agree to abide by the Parent’s Code of Conduct in all matters related to LEARN’s KidsPlay Sports Leagues. If I cannot pick-up my child after practices or games, one of the individuals I’ve authorized above, will pick-up my child on time. 

 

CONSENT TO USE OF VIDEO OR PHOTOGRAPHY 

My signature below authorizes the KidsPlay sta to photograph and/or film my child during the program and I hereby consent to use of these photographs in LEARN’s KidsPlay promotional material. LEARN may photograph me and/or those in my party during the program and I hereby consent to use of these photographs in LEARN promotional material.

 

RELEASE AND WAIVER OF LIABILITY

I hereby waive all claims against the El Monte City School District and LEARN and its employees arising from injury, accident or illness occurring by reason of participation in LEARN’s KidsPlay Sports League. I understand that participating in athletic activities is rigorous and may result in serious injury or in extreme cases, death. I attest to my child’s good health and allow for him/her to participate in the KidsPlay Sports League sponsored by LEARN. In case or an emergency, I authorize any licensed physician or hospital to render such medical aid as may by deemed necessary and/or desirable. Any cost/liability incurred for such treatment shall be my sole responsibility. 

 
DIGITAL SIGNATURE OR PARENT/GUARDIAN 

Leave this empty:

Signature Certificate
Document name: Kidsplay Registration Form 2017-18
Unique Document ID: 3506c755ce44bfc14e399926ab202cb0b811ac99
Timestamp Audit
2017-05-19 12:40:50 PDTKidsplay Registration Form 2017-18 Uploaded by Brenda Carrillo - brenda@learnla.org IP 172.249.205.110
2017-05-24 09:01:17 PDT Document owner dallas@learnla.org has handed over this document to brenda@learnla.org 2017-05-24 09:01:17 - 172.249.205.110