GREEK ORTHODOX METROPOLIS OF NEW JERSEY 2012 Outdoor GOYA Olympics DEAR FELLOW COMMUNITY: Onc e again the annual Metropolis GOYA Olympics are upon us. This year the Metropolis Youth Commission c elebrates hosting its 43rd GOYA Olympics. We are hosting the Olympic s at the Monmouth University. In ord er to ensure this year will be as suc c essful as others, please take a moment to read this pac ket c arefully. Enc losed you will find the following Forms: 1. GENERAL INFORMATION 2. REGISTRATION ROSTER (return in triplicate) 3. FINANCIAL WORKSHEET (return in triplicate) 4. HEALTH FORM 5. INDOOR OPLYMPICS SOCCER INFORMATION 6. ROSTERS (return in triplicates) Please type all forms (any forms not typed will not be ac c epted ) and return them with complete payment as well as proof of insuranc e on Mond ay April 23, 2012 in Westfield from 7:00pm to 9:00pm sharp. NO CASH ACCEPTED, NO LATE REGISTRATIONS ACCEPTED. If you have any questions, please feel free to c ontac t: George Tomczewski, Metropolis Youth Director. At 908-301-0500 or via email at youth@nj.goarch.org Remember: Faith, Fitness, and Fellowship! Good luck to all!!! Sinc erely, The Olympic Committee 1 of 8
GENERAL INFORMATION The 2012 OUTDOOR GOYA OLYMPICS: * Saturd ay May 26 Monmouth University Campus GOYAN S to be at the field by 8:00 am * Saturd ay May 26 Coed Volleyball & Swimming Events, to be held at the Monmouth University * Sund ay May 27 Monmouth University events to begin at 11:30 am In Case of Rain: * OLYMPICS will take plac e in a slightly mod ified manner at the Multi-purpose Ac tivity Center (MAC). Insurance policy: * A c opy of your Churc h's CERTIFICATE OF INSURANCE must be submitted with your registration forms. * Please have the CERTIFICATE HOLDER to read as follows: Greek Orthodox Metropolis of New Jersey 215 East Grove Street Westfield, NJ 07090 Youth Advisor: * At least one Advisor for every seven (7) GOYAns of the same gend er from eac h c ommunity must be present the entire weekend. * We strongly rec ommend you have at least one Ad visor/ Chaperon for every five partic ipants. * Each community will be responsible for monitoring c ertain events throughout the weekend. * A list of Ad visors and Chaperones that will be staying at the stud ent resid enc e must be submitted on your LODGING ROSTER. * Each community will be responsible for the water of their GOYANs for both d ays. Off Limits: * Please stress to your youth, that areas not been utilized by our program are stric tly off limits! * No GOYAns are allowed off-c ampus. * Students Residence and other buildings or areas not being oc c upied by any Greek Orthod ox Churc hes. (you will be notified of these areas) * Any youth found in areas not oc c upied by the GOYAns will be sub jec t to d isc iplinary ac tion as d etermined by the General Conduct and Grievance Committee 2 of 8
REGISTRATION ROSTER COMMUNITY: ADVISORS: GOYAN's Name Grade School Currently Attending Assigned Number 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Priest s Signature Date (required) 3 of 8
REGISTRATION ROSTER COMMUNITY: ADVISORS: GOYAN's Name Grade School Currently Attending Assigned Number 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. Priest s Signature Date (required) 4 of 8
REGISTRATION ROSTER COMMUNITY: ADVISORS: GOYAN's Name Grade School Currently Attending Assigned Number 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. Priest s Signature Date (required) 5 of 8
FINANCIAL WORKSHEET COMMUTING and / or LODGING CHURCHES/ INDIVIDUALS COMMUNITY: ADVISORS: REGISTRATION: Numb er of Pa rtic ip a nts (sta ying on c a mp us, Ma le) x $145.00 = $ (Fema le) x $145.00 = $ Numb er of Pa rtic ip a nts (not sta ying on c a mp us, With food on Sa turd a y a nd Sund a y) x $100.00 = $ Numb er of Ad visors/ Cha p erons/ Clergy (Ma le) x $75.00 = $ (Fema le) x $75.00 = $ SOCCER: ($120.00 p er Tea m) x $120.00 = $ PARISH FEE: $ 350.00 GRAND TOTAL: $ TOTAL AMOUNT ENCLOSED Chec k $ Chec k # Chec ks should b e ma d e out to New Jersey State Youth Committee. Plea se b ring a b la nk c hec k the night of registra tion in c a se there is a c orrec tion ma d e, a nd the tota l c ha nges. There will b e NO REFUNDS or CHANGES a c c ep ted on lod ging or registra tion. Payment is due during registration on Monday, April 23, 2012 in Westfield from 7:00 pm to 9:00pm Room 101. This time is for Olympics registration only. Authorized Signature Phone Date 6 of 8
G.O.Y.A. HEALTH PERMISSION FORM Please complete this form and return it to your Advisor. GOYAN S NAME DATE OF BIRTH ADDRESS MOTHER S NAME PLACE OF EMPLOYMENT TEL# FATHER S NAME PLACE OF EMPLOYMENT TEL# FAMILY DOCTOR S NAME HOSPITAL OF CHOICE DENTIST S NAME Are there any medical problems of which we should be aware? Is your child taking either prescription or over-the counter medication on a regular basis? Yes No Name of Drug(s) Drug Allergy? Yes No Name of Drug(s) Other Allergies? Yes No Types: Type of Reactions (be specific) Name of Drugs Names and telephone numbers of two persons to contact if your child is ill or injured. In the event that the parent or guardian cannot be contacted, these persons might have to make a medical decision. 1. Name Telephone 2. Name Telephone EMERGENCY MEDICAL TREATMENT To the Advisor and Reverent: In the event that I am unable to be reached and my child needs EMERGENCY MEDICAL TREATMENT during any time he/she is a member of the G.O.Y.A., you have my permission, and I hereby designate you my agent, to act in my son s/daughter s best interest in obtaining necessary transportation and medical care until I can be contacted. I hereby release you from any claim arising out of the doctor s actions, and I assume and agree to pay for my professional medical services incurred. Date Parent/Guardian Signature Permission for emergency medical treatment will be effective throughout the member s enrollment. If there is any change of information, please telephone the Reverend or Advisor. YOUR INSURANCE COMPANY GROUP IDENTIFICATION #: TELEPHONE # MEMBER # 7 of 8
GOYA Olympics Indoor 5V5 Soccer When: Ap ril 28, 2012 Sta rt Time: 9:00am Location: GoodSports Facility, 2903 Route 138 Ea st, Wa ll Township, NJ 07719 Phone 732.681.8898, Fa x 732.681.8895 Division Set-up 1. Girls 2. Boys Team Requirements 1. Five p la yers on field. 2. Ma ximum 15 p la yers p er tea m. Equipment Required 1. Shin gua rd s must b e worn a t a ll times. 2. High soc ks to c over shin gua rd s. 3. Sa me c olor shirts & shorts. 4. Soc c er c lea ts or snea kers ma y b e worn. 5. Ea c h tea m must ha ve their own First Aid Kit on the b enc h a t a ll times. Game Rules 1. Unlimited sub stitutions. 2. Ea c h game will b e 25 minutes running time. 3. Ea c h tea m will p la y two or three games within the d ivision, d ep end ing on the numb er of tea ms tha t enter. 4. No slid e ta c kling a llowed. 5. Tie b rea king c riteria : 1 st. Hea d to hea d, 2 nd. Goa ls a gainst, 3 rd. Goa ls for a nd 4 th. Shoot-out. 6. Semi Fina l a nd Fina l games to b e p la yed a t ea c h d ivision. In c a se of a tie a five minute overtime will b e p la yed the first tea m to sc ore wins (Gold en Goa l Rule). During the five minute overtime a fter ea c h minute a p la yer will b e removed from ea c h tea m until a goa l is sc ored. Directions to Goodsports: From the Garden State Parkway Ta ke the Ga rd en Sta te Pa rkwa y to exit 98, a nd then ta ke Route 138 Ea st. You will go through 2 tra ffic lights a nd immed ia tely a fter the sec ond light (for a jug ha nd le) you will see the c lub on the right. From the New Jersey Turnpike Ta ke the NJ Turnp ike to Exit 7A. Ta ke Route 195 Ea st for a p p roxima tely 30 miles, a t whic h p oint it will turn into Route 138 Ea st. Continue on this roa d a nd go over the Ga rd en Sta te Pa rkwa y, through the first light a nd sec ond light. Immed ia tely a fter the sec ond light (for a jug ha nd le) you will see the c lub on the right. From Route 18 From Route 18 South, ta ke the exit for Route 138 West. Ta ke the first jug ha nd le for Route 138 Ea st a nd the c lub will b e on your right. 8 of 8