Northside Youth Soccer League

Registration Form

All fields marked * are required

Player´s Personal information Player's First Name*:
Last Name*:
Street Address:
City:
Zip Code:
Birth Date*:

Parent/Guardian*:
Contact Phone*:
Contact eMail*:

Which elementary schools do you live near? 1^st Closest School:
2^nd Closest School:

Game position expertise/preferences

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

Forward Midfield Defense Goalkeeper

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

Forward Midfield Defense Goalkeeper

Uniform requirements

Already Have a Uniform

Jersey Size*:
Shorts Size*:

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 entering your name below, I hereby agree and authorize the above. In addition, by signing below, I also akcnowledge that I have read the cancellation policy and agree to its terms.

Parent/Guardian Signature*:
Date*: