What sport are you registering for? * Select an option:Soccer Uniform Size Needed * Select an option:Youth XSMYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLargeAdult 2XL Player's First Name * Player's Last Name * Player's Birthdate (mm/dd/yyyy) *

Gender *

Male Female

Player's Address * Parent's Name 1 * Parent's Phone Number 1 * Email Address Parent 1 * Emergency Contact Name (Other than Parent 1) * Emergency Contact Phone Number * Allergies and Other Medical History Special Requests (Coach, practice day/time, etc.)

Does your child qualify for Free or Reduced Lunch at school? *

Yes No No Answer

I understand that our organization is run by 100 percent volunteers. I will volunteer in the following way: * Select an option:Head CoachAssistant CoachTeam ParentField Set-up/Take-DownAssistant Travel CommissionerAssistant In-House CommissionerNone

I understand and agree that an invoice for the registration fee will be sent to the email address provided and that the invoice MUST be PAID before registration is complete. *

Yes No

I understand and agree that I must attend a parent's meeting before the 1st practice and complete additional participant waiver paperwork before my child can participate. *

Yes No

* indicates required fields