Rosedale Soccer 2017 Registration
Rosedale Soccer League
Mailing Address: Rosedale Soccer League P.O. Box 23328 Detroit, MI 48223-0328
www.rosedalesoccerleague.org 1-313-405-3314
Registration Fee Schedule Registration Fee $105 until June 30th Late Reg Fee $115 begins July 1st
2017 – Fall Session Registration Form Player’s Name: ________________________________________________________________________________________________________ (As you want it to appear on the trophy)
Age ________
Boy
Girl
Birth date: _______________ Years of soccer experience____________________ (As of 8/5/16)
Address_______________________________________City___________Zip_________ School__________________ Best Phone # (________) _____________________________
Alt. Phone # (________) ___________________________
Print Parent’s Name____________________________________________________________________________________________ Parent Email Address___________________________________________________________________________________________ Siblings Registered (names) _______________________________________________________________________ I want my child to play in Age Group (pick one)
4/5
6/7
8/9
10/12
13/17
Note: Players can “Play Up’ with older players for more challenge, but are not allowed to “play back” with younger players. I will volunteer to help: Coach/Asst. Coach
Referee
Field Preparation
Post Game Clean Up
Goal Post Setup/Goal Post Takedown
UNIFORMS Complete uniform = Jersey, shorts and socks Select One: Option 1: My child ALREADY HAS A UNIFORM and WILL NOT NEED a uniform this season Option 2: My child WILL NEED A COMPLETE UNIFORM this season
Select size in the 1st column
Option 3: My child will ONLY NEED PART OF THE UNIFORM this season
_
COMPLETE
JERSEY
UNIFORM
ONLY
ONLY
$17
$8
$25__
SHORTS
SOCKS ONLY $6
Select articles and sizes below
Adult Extra large Sizes: Complete $35
Jersey $19
Shorts $12
YM
YM
YM
Small
3XL
3X
3XL
YL
YL
YL
Medium
4X
4XL
4XL
AM
AM
AM
Large
5XL
5XL
5XL
AL
AL
AL
XL
XL
XL
2XL
2XL
2XL
Registration Checklist FOR OFFICE USE ONLY DO NOT WRITE IN THIS BOX Admin Initials____________________ _____________ Date Complete App Recd __________ Player’s Age Group Player needs a uniform YES NO Uniform Size____________ Sibling Discount Y
N
$____________ Registration Fee $____________ Uniform $____________ Discount $____________ Total Due $____________ Amount Paid Payment Made by: Cash M/O Credit Card________ Check #_____________
Release of Liability and Acknowledgement of Risk I agree to abide by the rules and regulations of the Rosedale Soccer League. I, the undersigned, acknowledge and confirm to be the parent or legal guardian of the child participating in this sport. I understand that the participation in and observation of this sport constitutes a risk to me and the child participating, including serious injury, or even permanent disability. I voluntarily and knowingly recognize, accept and assume this risk and release Rosedale Soccer League, North Rosedale Community House, the Northwest Activities Center, The Rouge Raiders, their trustees, advisors, officers, sponsors, employees, officials, volunteers, and all involved persons from any liability therefore. I/We also hold harmless Rosedale Soccer League from any injuries or claims suffered at a related, but non-Rosedale Soccer League sponsored event. Parent Signature__________________________________________________________________________________________Date__________________________
Mailing Address: Rosedale Soccer League P.O. Box 23328 Detroit, MI 48223-0328
www.rosedalesoccerleague.org 1-313-405-3314
Registration Fee Schedule Registration Fee $105 until June 30th Late Reg Fee $115 begins July 1st
2017 – Fall Session Registration Form Player’s Name: ________________________________________________________________________________________________________ (As you want it to appear on the trophy)
Age ________
Boy
Girl
Birth date: _______________ Years of soccer experience____________________ (As of 8/5/16)
Address_______________________________________City___________Zip_________ School__________________ Best Phone # (________) _____________________________
Alt. Phone # (________) ___________________________
Print Parent’s Name____________________________________________________________________________________________ Parent Email Address___________________________________________________________________________________________ Siblings Registered (names) _______________________________________________________________________ I want my child to play in Age Group (pick one)
4/5
6/7
8/9
10/12
13/17
Note: Players can “Play Up’ with older players for more challenge, but are not allowed to “play back” with younger players. I will volunteer to help: Coach/Asst. Coach
Referee
Field Preparation
Post Game Clean Up
Goal Post Setup/Goal Post Takedown
UNIFORMS Complete uniform = Jersey, shorts and socks Select One: Option 1: My child ALREADY HAS A UNIFORM and WILL NOT NEED a uniform this season Option 2: My child WILL NEED A COMPLETE UNIFORM this season
Select size in the 1st column
Option 3: My child will ONLY NEED PART OF THE UNIFORM this season
_
COMPLETE
JERSEY
UNIFORM
ONLY
ONLY
$17
$8
$25__
SHORTS
SOCKS ONLY $6
Select articles and sizes below
Adult Extra large Sizes: Complete $35
Jersey $19
Shorts $12
YM
YM
YM
Small
3XL
3X
3XL
YL
YL
YL
Medium
4X
4XL
4XL
AM
AM
AM
Large
5XL
5XL
5XL
AL
AL
AL
XL
XL
XL
2XL
2XL
2XL
Registration Checklist FOR OFFICE USE ONLY DO NOT WRITE IN THIS BOX Admin Initials____________________ _____________ Date Complete App Recd __________ Player’s Age Group Player needs a uniform YES NO Uniform Size____________ Sibling Discount Y
N
$____________ Registration Fee $____________ Uniform $____________ Discount $____________ Total Due $____________ Amount Paid Payment Made by: Cash M/O Credit Card________ Check #_____________
Release of Liability and Acknowledgement of Risk I agree to abide by the rules and regulations of the Rosedale Soccer League. I, the undersigned, acknowledge and confirm to be the parent or legal guardian of the child participating in this sport. I understand that the participation in and observation of this sport constitutes a risk to me and the child participating, including serious injury, or even permanent disability. I voluntarily and knowingly recognize, accept and assume this risk and release Rosedale Soccer League, North Rosedale Community House, the Northwest Activities Center, The Rouge Raiders, their trustees, advisors, officers, sponsors, employees, officials, volunteers, and all involved persons from any liability therefore. I/We also hold harmless Rosedale Soccer League from any injuries or claims suffered at a related, but non-Rosedale Soccer League sponsored event. Parent Signature__________________________________________________________________________________________Date__________________________
