Winchester Soccer Club
Registration Form - Spring 2008 Season – www.WinchesterSoccer.net
Winchester Soccer Club is affiliated with Massachusetts Youth Soccer Association (MYSA) and United States Youth Soccer Association (USYSA)

(Note that there is a PDF version of this document available online.)

REGISTRATION FEE INFORMATION and PROGRAM DESCRIPTIONS (Please check only one choice.)

□ TRAVEL SOCCER, Ages U10 and older.                                    The registration fee is $75.00

  (Usually grades 4 and higher)  Registration Deadline: 5/31/2007

 

□ SANDLOT SOCCER only, Ages U6, U7, U8, and U9.               The registration fee is $75.00
  (Usually grades K through 3) The Fall program for these ages is an in-town sandlot program.

  Registration deadline: U7-U9: 6/14/2007, U6 (Kindergarten): 9/15/2007

 

□ TOPSoccer (The Outreach Program for Soccer)                     The registration fee is $35.00
  An opportunity for all children with disabilities to play soccer.

  Registration deadline: 9/15/2007.

 

Players who register late will be placed on a wait list if all team rosters are full.
Players and parents should be familiar with the WSC “No Jewelry Policy:”

http://www.winchestersoccer.net/nojewelry.htm

 

VOLUNTEERING
(WSC offers training to volunteers who want to coach and/or referee)

Coach ______

Referee ______

Fields Setup ______     

Board Member______

Name of Volunteer ______________________

Telephone ____________________

Register On-Line!
www.winchestersoccer.net
Or, mail registrations to the following address: WINCHESTER SOCCER CLUB
P.O. BOX 421
WINCHESTER, MA 01890

Player’s Name_________________________________ Birth date: ________ Age (as of 7/31/2007) _____
Address_______________________________________________________________________________
Town _____________________ Zip _______ Telephone___________________________
Email: (please print) ___________________________________________________________
Grade Fall 2007 _________ School ______________________ Gender (M/F) ____
New Address? Yes ___ Total amount being paid? ______ Interested in tournament play? Yes ___ No ___
First time registration? Yes ____No ____ Notes ___________________________________________

 

 

 

Injury Waiver

I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the USYSA, its affiliated organizations, WSC and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the USYSA and WSC accepting registrant for its soccer programs and activities (the "Programs"), I hereby release, discharge and/or otherwise indemnify the USYSA, its affiliated organizations, WSC and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize. I, the parent/guardian of the registrant, a minor, agree with rules of the USYSA, its affiliated organizations, WSC and sponsors, and in particular that the registrant will not be allowed to participate without my providing full medical insurance coverage. I hereby provide medical coverage for the participant with (COMPANY)______________________ under POLICY NUMBER__________________________ and I shall maintain said policy and coverage until the registrant no longer participates in the Programs sponsored by the USYSA, its affiliates or WSC. I hereby further agree that in the event the aforementioned policy is canceled, I shall immediately notify the USYSA and its affiliated organizations and WSC and I shall not permit the registrant to participate in any USYSA or WSC Program. As the parent/guardian of the above named player, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve life, limb or well being of my dependent.

Parent / Legal Guardians Names __________________________________/_________________________________
Signatures ________________________________/________________________________ Date________________
Telephone: Home_______________________________ Alt Phone _____________________________

 

Administrative Section: Check# ________ Amount Enclosed $__________ Date Processed __________
# in Family Registering ___________ Notes: _________________________________________________