CHENANGO RECREATIONAL SOCCER LEAGUE
2006 REGISTRATION FORM

 

CHENANGO RECREATIONAL SOCCER LEAGUE
PARENTAL AGREEMENT
WE HEREBY AGREE THAT THE SOCCER ASSOCIATION FOR YOUTH (SAY) ITS MEMBERS, COACHES OR OFFICERS SHALL NOT BE LIABLE FOR ANY INJURY OR LOSS WHICH MY CHILD MAY SUSTAIN WHILE PARTICIPATING IN ACTIVITIES OF ANY KIND WHETHER SPONSORED BY OR UNDER THE SUPERVISION OF SAY AND WE AGREE TO INDEMNIFY AND TO HOLD HARMLESS SAY, ITS MEMBERS, COACHES, OFFICERS OR DESIGNATES OF ANY KIND FROM ANY CLAIM WHATSOEVER.

PARENT OR GAURDIAN SIGNATURE _____________________Date_______________

I certify that my child, ____________________________ is in normal health and capable of safe participation in the Chenango Soccer Club 2005 program.
I assume all risk(s) and hazards incidental to the conduct of this program.  I hereby authorize the Chenango Soccer Club to obtain medical treatment for my child in the event that the child’s emergency contacts listed below cannot be reached.
Parent/Guardian Signature: _________________________ Date: ___________
Contact Person 1: _________________________________________ Phone: _______________
Contact Person 2: _________________________________________ Phone: _______________
Please list below any health concerns the coach should be aware of:

 

 

Player’s Name _____________________________        Boy___           Girl___       Age___

E-mail address _____________________________

Address:   _________________________________       Phone#___________________  
             
                _________________________________

 

Shirt Size (circle one): YM   YL   AS   AM   AL   AXL

Age Bracket
 

 

Division

Division Birth Dates are
between these dates

Enter players birth date
in correct box below

Under 6

8/1/00 to 7/31/02

 

Under 8

8/1/98 to 7/31/00

 

Under 10

8/1/96 to 7/31/98

 

Under 12

8/1/94 to 7/31/96

 

 

Please make check payable to: Chenango Soccer Club                  Fee: $_____ U8, U10 & U12
                                                                                                            Fee: $_____ U6

 

Coaches will contact you prior to the first practice.

 

06league 

 


Reminder to Parents, Coaches and Volunteers!

  1. This league is a learning league where all levels and skills are encouraged to participate.
  2. Referees are often students who are learning a new side to the game, be patient.
  3. Fair play time is a requirement.  This means that all participants play every game.  Target a half a game minimum per player.
  4. Home coach is responsible for calling the game due to weather.
  5. This is a volunteer organization, all help is greatly appreciated.

HAVE FUN!