NORTHSIDE YOUTH SOCCER LEAGUE
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Registration Form
Player´s Information
Name:
Last Name:
Street Address:
City:
Zip Code:
Birth day:
Gender:
Female
Male
Parent/Guardian:
Contact Phone:
Contact Email:
Wich elementary schools do you live near?
First Closest School:
AJ Katzenmaier
Marjorie P Hart
Greenbay
North Elementary
Howard A Yeager
South Elementary
Second Closest School:
AJ Katzenmaier
Marjorie P Hart
Greenbay
North Elementary
Howard A Yeager
South Elementary
What position(s) do you normally play?
(Check all that apply)
Forward
Midfield
Defense
Goalkeeper
What position(s) do you want to play?
(Check all that apply)
Forward
Midfield
Defense
Goalkeeper
Already Have a Uniform
Jersey Size:
Short Size:
Youth Small
Youth Medium
Youth Large
Small
Medium
Large
Extra-Large
Youth Small
Youth Medium
Youth Large
Small
Medium
Large
Extra-Large
Permission to Play
I, the parent or guardian of the minor registrant, agree that the registrant and I will abide by all the rules of the Northside Youth Soccer League (NYSL). In recognizing the possibility of physical injury associated with soccer and in consideration for the “League” accepting the registrant for its soccer programs and activities, I hereby release, discharge, and/or otherwise indemnify NYSL, their employees and associated personnel and volunteers, including the facilities used for practices and games, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the program and/or being transported to or from NYSL sponsored activities, which transportation.
By signing below, I hereby agree and authorize the above. In addition, by signing below, I also acknowledge that I have read the cancellation policy and agree to its terms.
Parent/Guardian Signature: _____________________________________________________ Date: ___________________
