CKU FALL PARKS & REC SOCCER SIGNUP
*PLEASE READ ALL INFORMATION BELOW* Complete this form to register for fall soccer through Salina Parks & Recreation. Soccer is even more fun with friends and family - feel free to share this form with anyone who may be interested! All games will be played at Magnolia Soccer Complex in Salina, KS. Teams will practice a minimum of 1x per week in Salina, KS. Teams will be created after all registrations are received. You will be contacted by text and/or email with team information by August 1st. Registration forms due by August 1, 2026. Payment is due at time of registration, if you need arrangements made please email us and we will work with you. Separate forms are required for each player.
Questions? Email us!
centralkansasunited@gmail.com We will respond as quickly as possible. Please allow us 2 days before resending your email.
Player Name
*
First Name
Last Name
Player Birthday
*
-
Month
-
Day
Year
Date
Grade level for 2026-2027 school year
*
Prek
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
School
*
If available, I want to play in the GIRLS ONLY league
*
Yes - GIRLS LEAGUE
No
Played soccer before?
*
Yes
Some
No
Team Name
Player shirt size
*
YXS
YS
YM
YL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Parent Name
*
First Name
Last Name
Second Parent Name (optional)
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Phone Number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Secondary Email (optional)
example@example.com
These days of the week absolutely DO NOT work for practice (practice space is extremely limited, we cannot guarantee your assigned practice time will not conflict with your schedule however we try our best to work around your preferences!)
Monday
Tuesday
Wednesday
Thursday
Friday
Interested in coaching your child?
*
Yes, I’d like some information
No, I’d prefer to cheer from the sidelines
I know someone who is interested in coaching
My Products
*
prev
next
( X )
Fall Season
Includes season fees & reversible jersey top.
$78.00
$
78.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
Submit
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