Fall 2026 Coosa Soccer Registration
Participant Registration Information
Player's Name
*
First Name
Last Name
School Attending
*
Grade
*
Please Select
3yrs Old
PreK (4K)
PreK (5K)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shirt Size
*
Please Select
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Shorts Size
*
Please Select
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Special Notices (All notices are private and are kept confidential)
Team/Coach Request
Previous Teams
Do you have additional players to register?
*
Yes
No
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Participant Two Registration Information
Player's Name
*
First Name
Last Name
School Attending
*
Grade
*
Please Select
3yrs Old
PreK (4K)
PreK (5K)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shirt Size
*
Please Select
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Shorts Size
*
Please Select
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Special Notices (All notices are private and are kept confidential)
Team/Coach Request
Previous Teams
Do you have additional players to register?
*
Yes
No
Back
Next
Participant Three Registration Information
Player's Name
*
First Name
Last Name
School Attending
*
Grade
*
Please Select
3yrs Old
PreK (4K)
PreK (5K)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shirt Size
*
Please Select
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Shorts Size
*
Please Select
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Special Notices (All notices are private and are kept confidential)
Team/Coach Request
Previous Teams
Do you have additional players to register?
*
Yes
No
Back
Next
Participant Four Registration Information
Player's Name
*
First Name
Last Name
School Attending
*
Grade
*
Please Select
3yrs Old
PreK (4K)
PreK (5K)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shirt Size
*
Please Select
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Shorts Size
*
Please Select
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Special Notices (All notices are private and are kept confidential)
Team/Coach Request
Previous Teams
Back
Next
Primary Guardian's Information
Guardian's Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
Cell Phone (If you only have one fill this one out)
*
Are you willing to receive text updates & messages?
*
Yes
No
Email
*
example@example.com
Emergency Contact
Name
*
First Name
Last Name
Relation
*
Phone #
*
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Program Participant Waiver & Release
Parent/Guardian Name
*
Date Signed
*
-
Month
-
Day
Year
Date
RELEASE and WAIVER of LIABILITY and INDEMNITY AGREEMENT
*
I agree to the terms and conditions outlined above
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My Products
*
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Individual Registration
Fees for one player
$65.00
$
65.00
Multichild Registration
Fees for 2 or more players
$120.00
$
120.00
Payment Methods
Debit or Credit Card
ACH Bank Transfer
Submit
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