North Side Youth Soccer League

Registration Form

Player's First Name:

Last Name:

Street Adress:

City:

Zip Code:

Birth Date (mm/dd/yyyy):

Gender

Female

Male

Grade

Pre-School

1st

2nd

3rd

4th

5th

Parent/Guardian:

Contact Phone:

Contact Email:

Which elementary schools do you live near?

First Closest School:

AJ Katzenmaier

Greenbay

Howard A Yeager

Marjorie P Hart

North Elementary

South Elementary

Second Closest School:

AJ Katzenmaier

Greenbay

Howard A Yeager

Marjorie P Hart

North Elementary

South Elementary

What position(s) do you normally play? (check all that apply)

Forward

Defense

Midfield

Golkeeper

What position(s) do you want to play? (check all that apply)

Forward

Defense

Midfield

Golkeeper

Already Have a Uniform

Jersey Sizes

Youth Small

Youth Medium

Youth Large

Small

Medium

Large

Extra-Large

Short Size

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 term

Parent/Guardian Signature:

Date:

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