Youth Registration Form Fall/Spring 2011-12

(Players U13 & up please use Club Registration Form)

Please read the Youth Soccer Information thoroughly before registering.

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. 

Player Information

Last Name    First Name     Sex: M F

 Date of Birth   mm/dd/yy   Address 

City   State    Zip     Phone                     

 Email address      Parent/Guardian Name:          

TEAM SELECTION (For an explanation of your choices, please read Youth Soccer Information)

        1st CHOICE TEAM:

       2nd CHOICE TEAM:

 This registration is for: Full year, Fall/Spring 2011-12

                                   Fall 2011 only

 Uniforms: $40 uniform kit (includes 2 jerseys, black shorts and black socks)

I would like to preorder a uniform for my son or daughter

 Please select a size YS YM YL AS AM AL

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 fee is $165 for a full year ($145 for U8). Fall only is $100 ($85 for U8)  Fee MUST be included with your registration.  If you wish to pay by check, please use the printed registration form.

VISA or MASTERCARD    Exp. Dat mm/yy   CVV Code

TBAYS Refund Policy

TBAYS Refund policy – We will refund payments for withdrawals made before the first game of each season.  We are sorry but no refunds can be made after those dates. 

I am willing to Coach or Assistant Coach my child's team.  (The Director of Coaches will contact you with more information if you volunteer to coach.

I am willing to work on field set up or tear down Serve as a team manager Serve on a committee

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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