****All registrations with team placement requests are due by Nov 5, 7017**** This form will onlv be accepted until Nov 5. no team requests will be accepted after that date Registration !nstructions Note: Do not use this form for Under 5 registration. Players born after July 3\,2OLL should use the Under 6 registration form. The age the child was on luly 3L, 2OL7 is the age group the child will be placed in (example: if child was 8 he would be in U 10). Deadline ior player registration with placement request is Nov 5, 2017. The registratbn fee is $75, afterthe deadline it is $80 and no team requests
allowed,noregistratbnswillbeacceptedafterJan25.
For anyleaguequestionspleasecall(859)525-!A7A,for
anyUS-UL3registration info please visit our website: www.boonecountvsoccer.com, Please fill out this form completelv and return it to the address listed at the bottom of the form or return in person at our sign-ups in Central Park, do not return forms to the schools or coaches. Make sure to include a check made out to the BCYSA for 575.00 {referee fees will be collected by each coach at the start of the season), The BCYSA will charge $ZS for any returned check. First time players must include a copy of their birth certificate. Player Placement Returning players have the right to return to their previous team provided they register beforethe Nov 5 deadline. All other registrations are accepted on a first come first serve basis and there is no guarantee of placement on a particular team or placement on any team at all. No requests will be honored after the Nov 5 deadline and requests for specific practices days or practice fields will not be accepted. The league will not refund registration fees after Feb 1, for any reason. lf the child cannot be placed on any team, the check will be returned.
Registrationswillnotbeacceptedoverthephoneorthroughtheinternet.Pleasenotethatinrecreationalsoccer@ who
is placed on
their teaJns. All forms and guidelines can be found online at: www.boonecountvsoccgl,cgrm.
Plaver lnformation Plaver
Name:
Date of
Home Address: Primarv
Birth:
Gender:
State:
Citv:
Phone:
I
M
Zio:
Alternate Phone:
Mother/Fattrer Guardian Name:
EmailAddress:
Did the child plav in the BCYSA durins the Fall
2017
Yes
No
coach? plav age proup? Yes No the child wish to up iEan older Does lf child played Fall 2017 who was the
Ase Group
plaved: U6 U8 U10 U12
Wish to plav for same coach? Yes ls the child plaving select soccer too? Y
U13
No N
Additional Coffimeflts:
ll agreethat the
BCYSA
or its representatives will not be held responsible for any accidents or iniuries received while participating)
Parent/Guardian Signature: Mailthis completed registration form abng with a check for SZS (tate registratbn S80l payable to Meil tg: 4dah S{iehok {Attn: B{YSA eqfutr*} LS ktty lefi*, Fletcrlcc, (y, 410rt3
BCYSA
Family discount: A family of 3 registered players, $5 off per player. A family with 4 registered players, the 4th player is free.