STREATOR YOUTH SOCCER
2015 SPRING REGISTRATION FORM
www.streatoryouthsoccer.com
SIGN UP FEE: $60.00 REGISTRATION DEADLINE: 2/15/2015
(Includes new 3 game tournament!)
Receipt # Mail To: Streator Youth Soccer
Cash _____________ PO Box 198
Streator, IL 61364
PLEASE PRINT
Player Name: ___________________________________ Boy____ Girl ____ Current Grade: ______
Player’s Birthdate: ______________ E-mail Address:__________________________________
City of Residence: _________________________ PRIMARY PHONE # ________________________
Shirt Size (Please check the box that applies.)
Youth Sizes:______ Small _______ Medium _______ Large
Adult Sizes:______ Small _______ Medium ________ Large ______ Extra Large
Please list any medical issues coaches should be made aware of:
_______________________________________________________ ___________________________________
Please list other sports or commitments your child has during the spring season (April – early June)
___________________________________________________________________________________________
Primary Emergency Contact: ___________________________________ Phone: ______________________
Secondary Emergency Contact: _________________________________ Phone: _______________________
The age ranges for the spring season are exactly the same as they were last fall. Our goal is to have as many gender specific teams as possible in the spring, however, ages may need to be combined (U12-U14) or teams forced to play co-ed depending on the number of teams available to play. Most, if not, all games will be played out of town, and we can no longer count on all games being played in Morris.
The number of teams and players depends on registrations and coaches. Coaching in the spring requires a lot more coordination and effort than the fall. If we are unable to secure coaches at any age level, all parents will be notified and offered the opportunity to coach before we cancel the season for that team and return your money.
I give my child permission to participate in Streator Youth Soccer, including traveling to out-of-town games if necessary. I also release any liability toward the YMCA or Streator Youth Soccer. I understand that I may be responsible to participate in fundraising efforts as deemed by Streator Youth Soccer.
Signature of Parent or Guardian: Date:
Please remember that the success of Streator Youth Soccer comes from the support of the parents. If you are interested in any of the following positions below please contact us at www.streatoryouthsoccer.com.
Head Coach Assistant Coach