Club Registration Form Fall/Spring 2011-12
(Players U8-U12 please use Youth Registration Form)
Please remember that you are not registered if payment does not accompany your registration. To avoid confusion please do not submit registration forms that do not include payment. If you do not want to send credit card information online, please register by fax, mail, or in person.
We appreciate your cooperation!
Thanks!
Last Name First Name Sex: M F
Date of Birth mm/dd/yy
Address
City State Zip Phone
Parent or Guardian
Cell Phone Email address
Team Selection
Please mail a completed Medical Release form to P O Box 5034, Traverse City MI 49696 as soon as possible. We will also need a copy of your child's birth certificate if he/she is new to TBAYS.
Registration is for Full year, Fall/Spring 2011-12 ($165) or Fall only 2011 ($100)
VISA or MASTERCARD Exp. Dat mm/yy CVV Code
TBAYS Refund Policy
TBAYS will refund up until the team's 1st game. No refunds can be made after play has begun.
TALENT RELEASE AGREEMENT
I hereby assign and grant to Traverse Bay Area Youth Soccer the right and permission to use and publish the photographs/film/videotapes/electronic representations and/or sound recordings made of me or my child at any activities, and I hereby release Traverse Bay Area Youth Soccer, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with the activity from any and all liability from such use and publication.I hereby authorize the reproduction, sale, copyright, exhibit, broadcast, electronic storage, and/or distribution of said photographs/film/videotapes/electronic representations and/or sound recordings without limitation at the discretion of Traverse Bay Area Youth Soccer, and I specifically waive any right to any compensation I may have for any of the foregoing. Yes No
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