Spring 2027 Rec Registration
For players ages 3-6
Player Information
*
First Name
Last Name
Player DOB
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Player Gender
*
Male
Female
Player T-Shirt Size
*
Please Select
x-small
small
medium
large
x-large
Please list any medical conditions or allergies the participant has, if any:
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Do you need to register another player for Rec Soccer?
*
Yes
No
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2nd Player Information
*
First Name
Last Name
2nd Player DOB
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Player Gender
*
Male
Female
Player T-Shirt Size
*
Please Select
x-small
small
medium
large
x-large
Please list any medical conditions or allergies the participant has, if any:
Back
Next
Do you need to register another player for Rec Soccer?
*
Yes
No
Back
Next
3rd Player Information
*
First Name
Last Name
3rd Player DOB
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Player Gender
*
Male
Female
Player T-Shirt Size
*
Please Select
x-small
small
medium
large
x-large
Please list any medical conditions or allergies the participant has, if any:
Do you need to register another player for Rec Soccer?
*
Yes
No
Back
Next
4th Player Information
*
First Name
Last Name
4th Player DOB
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Player Gender
*
Male
Female
Player T-Shirt Size
*
Please Select
x-small
small
medium
large
x-large
Please list any medical conditions or allergies the participant has, if any:
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Parent / Guardian Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Relationship to player(s)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I, the undersigned parent/guardian, give my consent for my child to participate in the activities of the youth soccer organization. I acknowledge that participation in these activities involves certain risks and I voluntarily assume all risks associated with my child's participation.
*
Yes
No
I understand that the organization may take photographs and/or video recordings of the activities and events in which my child participates. I grant permission for the organization to use these photographs and/or video recordings for promotional purposes.
*
Yes
No
I agree to release, indemnify, and hold harmless the youth soccer organization, its directors, officers, coaches, employees, and agents from any and all claims, demands, suits, damages, and liabilities arising out of or related to my child's participation in the activities of the youth soccer organization.
*
Yes
No
By checking the box below, I acknowledge that I have read and understand the terms of this consent form and agree to its contents
*
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Registration fee per player $55
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Spring 2027 Rec Registration
$55.00
$
55.00
Quantity
1
2
3
4
5
6
7
8
9
10
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.
Submit
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