North Prairie Athletic Association                2019 Fall Soccer Registration Form
Please complete the following form to register your athlete for fall soccer through the NPAA. Please ensure that all information is correct and current as you fill out the form. If you choose to complete online, by submitting we will have your child's information.  Upon the completion of the form, it is important to immediately submit for payment through our preferred method of Paypal which will be presented after submission.  Timely payment ensures your child will be placed on a team immediately.  If you would prefer to mail in your registration fee please include a note on the check and or in the envelope noting the name of all children being paid for, please send to:

NPAA
PO Box 9
North Prairie, WI 53153

Checks can be made payable to "NPAA".
Thank you again! See you out on the field.
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Parent/Guardian #1 First Name *
Parent/Guardian #1 Last Name *
Parent/Guardian #1 Phone number *
Parent/Guardian #1 Email *
Parent/Guardian #2 First Name
Parent/Guardian #2 Last Name
Parent/Guardian #2 Phone number
Parent/Guardian #2 Email
Address *
City *
State *
Zip Code *
Are you willing to coach?
We are always looking for parents to help out! You do not need to be an expert to coach. We will help you with practice plans, ideas, drills, equipment, etc... Additionally, head coaches will be reimbursed one child registration!  If you are on the fence and want to talk it through, give me a call 262-442-2746 (Shawn Budiac).  I was a first time coach last year and can help with any of the questions you have.
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Waiver (Please Initial) *
I am aware of and understand that there may be potential risks inherent with participation in any recreation activity, and that the North Prairie Athletic Association is not liable for any injury that may occur. The North Prairie Athletic Association does not provide accident insurance and cannot assume responsibility for injury to any participants in its recreation programs. I give my permission to the North Prairie Athletic Association to take action (call emergency vehicles, transport to doctor / hospital) for myself or my child if immediate medical attention is required due to accident or illness while under his / her / their supervision.
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