RaceReach

First Name *

Last Name *

Email *

Please put your preferred e-mail address. Note, the school year ends prior to the Powerade State Games so keep that in mind when it comes to selecting which e-mail address to use.

Home Address *

City *

State *

Zip Code *

School Phone Number *

Cell Phone Number *

What school do you currently coach at? *

What county is your school in? *

What division does your school compete it? *

What conference is your school a part of? *

How many years have you been a head coach? (This can include time spent as the head coach at another school) If you have not been a head coach, leave this question blank.

What Powerade State Games Region is your school in? *

Click here to view the 2020 High School Soccer Regional Map.

Which coaching position(s) are you interested in? *

Girls Head Coach

Girls Assistant Coach

Boys Head Coach

Boys Assistant Coach

Can we publish your e-mail address for the players and coaches to use to correspond with you? *

Yes

No

Can we publish your cell phone number for players and coaches to use to correspond with you? *

Yes

No

Coaches selected will receive a Powerade State Games Coaches Polo. What size polo would you like if you are selected to represent your region? *

Powerade State Games Agreement to Participate

In consideration of being allowed to participate in any way in the STATE GAMES OF NORTH CAROLINA athletic/sports program and its related events and activities, the undersigned acknowledges, appreciates, and agrees that:

 

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

 

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

 

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

 

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS NORTH CAROLINA AMATEUR SPORTS, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

 

5. I grant to North Carolina Amateur Sports my permission to use without charge any and all photographs, video reproductions or other like kinds of image productions taken during the event.

 

6. I understand that North Carolina Amateur Sports and it’s Staff are not responsible for loss, theft, or any damages to

personal property.

 

7. I have read and agree to the Powerad State Games of North Carolina Cancellation and Refund Policy.   

 

8. I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I

have given substantial rights by consenting to it freely and voluntarily without any inducement.   

 

FOR PARTICIPANTS OF MINORITY AGE

(UNDER AGE 18 AT TIME OF REGISTRATION)

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my

Read through the agreement

By checking this box, you agree that you have read, understood and agreed to: (i) the waiver(s) above * and (ii) the N.C. Amateur Sports' Privacy Policy * , and represent that you are 18 or older, or have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian.

Is the participant 18 or older? *

18 or older Under 18