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BCYSA Boone County Youth Soccer Association

for U8-U15 ***'rAll late registrations are due by January 15, 20L7**** Late Spring 2Ot7 Registration Form

Registration lnstructions Note: Do not use this form for Under 6 registration. Players born after July 31, 2010 should use the Under 6 registration form. A U6 registration form can be obtained from our website at: www.boonecountvsoccer.com. Late registrations are due by Jan. 15, 2017. The cost for late registration is S75. For any league questions please call Adele Nichols at (859)525-1070 for any registration questions email:

Makesureto [email protected]. Pleasefill outthisformcompletelvandreturnittotheaddresslistedatthebottomoftheform. 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 chargeS2Sforanyreturnedcheck. Firsttimeplayersmustincludeacopyoftheirbirthcertificate. Player Placement Since this is late registration all registrations at this point 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. There will be no refunds after Feb. t, for any reason. Registrations will not be accepted over the phone or through the internet. Please note that in recreational soccer coaches cannot request who is placed on their teams. All forms and guidelines can be found online at; www.boonecounWsoccer.com. The BCYSA is not accepting any late resistrations for over age U13 sirls for the spring this includes those that played in the fall.

Plaver lnformation Plaver

Name:

Date of

Home

Address:

Citv:

Birth:

Alternate Phone:

Mother/Father Guardian Name:

Email Address:

attend?

lf child plaved Fall 2016 who was the Does the child wish

Todav's

2016? Yes No

coach?

to plav.up in an older aee group?

Aee Group

I

Gender:

State:

Home Phone:

What school does the child Did the child plav in the BCYSA durine the Fall

I

date: /

/

lf available at this time plav for same coach? Yes No. Yes No ls the child plavine select soccer too? Y N

_

(The BCYSA will not honor requests for specific practice davs or fields)

Parent/Guardian Signature

:

(l agree that the BCYSA or its representatives will not be held responsible for anv accidents or iniuries received while participatine)

Mail this completed late registration form along with a check for $25 payable to BCYSA Mailto: Adele Nichols (Attn: BCYSA Registrar) 120 Patty Lane, Florence,Ky.4!042

All Late Registrations are due by

Jan

t5,2Ol7

Family discount: A family of 3 registered players, 55 off per player. A family with 4 registered players, the 4th player is free.

Those interested in volunteerins to head coach in the BCYSA must fill out a Coaching lnterest Form Coaching forms can be obtained online from our website: www.boonecountvsoccer.com.

F

Zio:

plaved: UG U8 U10 U12B Ut3G/

Additional

Comments:

M

15B