Reading Soccer - Registration

Reading Soccer

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Registration

Registration is a 2 step process that must be completed in order!!!
1. You must first click on the secure Buy Now button to submit the spring fee. After you pay the fee, you will then be directed back to this page to fill out the registration form.
2. After the fee is paid, you then must fill out the online registration form.
If the order is not followed, or both sections are not filled out, then your child may not be registered.

THE SPRING REGISTRATION IS $55.00

Email Address:
Please list the email address used for Paypal. This is so that we can match it to your child.
Parent's Last Name
Parent's First Name
Address
Zip Code
Home Phone Number
Cell Phone Number
Would you like to coach or assist?
Child's Last Name
Child's First Name
Male or Female
Birthdate
Age as of Aug. 1 2011
Emergency Contact with Phone Number
Doctor with Phone Number
Played Last Year
Last level Played
Brother or Sister Playing
Shirt Size	Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL
Short Size	Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL
Sock Size	Small Medium Large
By placing initials in this box you agree that as the parent or legal guardian of the above named player, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well being of my dependent.
By placing initials in this box you hereby agree the the Soccer Association for Youth(SAY), its members, coaches or officers shall not be liable for any injury or loss which my child or children 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 member, coaches, officers or designates of any kind from any claim whatsoever.
Would you like to be contacted about the Summer Soccer Camp

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