RAYS 2009 Fall Recreational Soccer Registration (Late)

To register your child for the 2009 RAYS Fall Recreational League please complete this form for each child you are registering. Late Individual child registrations are $40.

This form should be used for Children who are between the ages of 4 to 13 on August 1, 2009.

You have the option to pay online after submitting your registration.

Late registrations are accepted with payment but please be aware that we may not be able to accommodate all late registration shirt requests.

Child Information

Information about the child you are registering.

Child First Name: *

Child Last Name: *

Address (Street): *

Address (City, State, Zip): *

Date of Birth: *

Gender: *

male

female

Age as of Aug 1, 2009: *

Shirt Size: *

# of years playing soccer: *

Copy of Birth Certificate: *

A copy is already on file with RAYS

I will send a copy in as soon as possible

RAYS must have a copy of your child's birth certificate. Please choose whether RAYS already has a copy on file, or whether you will be sending a copy of the certificate.

Parent Information

Parent Name: *

Parent Name:

Phone Number: *

Phone Number (alt):

Email: *

Click to expand for Special Requests

While we try to accommodate special requests, please remember we try to make the teams as even as possible and some requests may not be honored. If you would like your child to play on the same team as another child, play for a certain coach, or play on the team of a certain sponsor, fill those fields out below.

Play with child:

Play for coach:

Play on team of sponsor:

Unavailable:

Select one day, if any, that your child might not be available for practices and games.

Other Information

Comments:

Provide any additional comments regarding your child and/or their registration.

Click to Expand for Volunteer Opportunities

Our league's success depends greatly on its volunteers; from its board members to its coaches. We are always looking for parents interested in playing a bigger role in their child’s love for soccer. If you are interested in becoming more involved in RAYS, please indicate which position(s) you are want to learn more about. A board member will contact you to answer any questions you may have.

Board Member:

Volunteer as board member

RAYS Coordinator:

Volunteer as a RAYS Coordinator

RAYS Coach:

Volunteer as a RAYS Coach

RAYS Referee:

Volunteer as a RAYS referee

RAYS Sponsor:

Parental Consent

I, the undersigned parent or legal guardian of the registered player named on the other side, hereby give my consent for this player to participate as a member of the Rossville Area Youth Soccer League. I certify that the player listed above is in good physical condition as required by the United States Youth Soccer Association. I understand that Rossville Area Youth Soccer (RAYS) does not carry health or accident insurance. I will not hold RAYS, its board members, its coaches, volunteers and referees responsible for any injuries during or in route to practices, games or tournament play. Furthermore, I agree not to hold Indiana Youth Soccer Association, the Central Indiana Youth Soccer League, G.I.R.L.S., or any of their agents responsible for any injuries received in conjunction with participation in the program.

I also understand from time to time RAYS or other participants will take pictures during games, practices and other organization activities. I hereby grant RAYS the permission to use the registered player’s likeness in a photograph in the organization’s publications, including website entries, without payment or any other consideration. I hereby irrevocably authorize RAYS to copy, exhibit, publish or distribute this photo for purposes of publicizing RAYS programs.

Do you understand and consent to the above: *

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