DCAA Soccer - Spring 2024
Registration Due by February 17th for players entering 2nd to 8th grade in order to register teams with ESSL and CASL. Registrations accepted after February 17th may not be guaranteed a spot on a team.

Instructional soccer registration is due April 1st.
Sign in to Google to save your progress. Learn more
Email *
Players Full Name *
First Last
Player's Birth Year (i.e. 2010)
Player's Full Birthday *
MM
/
DD
/
YYYY
Players Gender *
Grade Enrolled for 23-24 school year *
League Preference (optional, in some grade levels it is not a choice)
Shirt Size *
Players Address *
Please include state and zip code
Parent/Guardian #1 Name *
First, Last
Parent/Guardian #1 Address  
If different from Player
Parent/Guardian #1 Phone Number *
Parent/Guardian #1 Email Address *
Parent/Guardian #2 Name
First, Last
Parent/Garden #2 Address
If different from player
Parent/Guardian #2 Phone Number
Parent/Guardian #2 Email Address
Are you interested in Coaching?
Clear selection
Emergency Contact *
Emergency Contact Phone Number *
Medical Information *
Allergies or Limitations
Method of Payment
BK-Grade 1 instructional soccer will pay a fee of $20.

For 2nd grade and older, DCAA currently offers two levels of competition: Capital Area Soccer League (CASL – community level competitive play in the greater Lansing area), and East Side Soccer League (ESSL – recreational level play among local communities). ESSL fees are $35/season. CASL fees are $85/season. Your coach will let you know

Paypal/Credit Card payments can be made on the DCAA website: www.dcaa12.com/soccer - use the paypal button.

Checks payable to DACC Soccer and mailed or returned during the registration night. Details to follow. If mailing, please send to: Jim Greiter, DCAA Soccer Commissioner 353 W Bailey Cir Mason, MI 48854  

** Any questions, please contact Jim Greiter at dcaa.soccer001@gmail.com 
Method of Payment *
Notices and Waivers
This section includes the notices and waivers for the DCAA soccer program. Please read thoroughly.
Sportsmanship
Sportsmanship is critical to the success of all DCAA programs. This is true of players, coaches, parents and spectators at every game, practice or other sporting event. Any issues with coaches should be addressed privately and in a respectful manner at an agreed upon time and place away from the game field/floor. Referees/umpires should not be yelled at or taunted. Above all, it is essential that we be positive role models and set the best examples for the young ones we influence. Failure to adhere to these principles of conduct may result in expulsion from an event and continued violations could result in the dismissal of the child from the team.

Please Initial Parent/Guardian Name *
In agreeing below, I and my student athlete understand and agree to the above stated sportsmanship guidelines. We will make every effort to represent DCAA and its programs in the most positive way.
RELEASE, WAIVER OF LIABILITY AND COVENANT NOT TO SUE
IN CONSIDERATION OF my child/ward, being allowed to participate in any way in Dansville Community Athletic Association (DCAA) related events and activities, I, as the parent or guardian, the undersigned acknowledge, and agree that:

The risk of injury to my child from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

1) FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE PARTICIPANTS, spectators, administrators, or others, and assume full responsibility for my child’s participation; and

2) I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child’s readiness for and/or participation in the program itself, I will remove my child from the participation and bring such attention of the nearest official immediately; and

3) I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY, RELEASE AND HOLD HARMLESS Dansville Community Athletic Association (DCAA); its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, WITH RESPECT TO ANY AND ALL LIABILITIES, INCIDENTS, INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my or my child’s/ward’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

4) It is understood and agreed that, if any provision of this release or the application thereof if held invalid, the invalidity shall not affect other provisions or applications of this release which can be given effect without the invalid provisions or applications. To this end, the provisions of this release are declared severable.

5) The language of all parts of this release shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any party. This release is the only, sole, entire, and complete agreement of the parties relating in any way to the subject matter hereof. No statements, promises, or representations have been made by any party to any other, or relied upon, and no consideration has been offered or promised, other than as may be expressly provided herein. This release supersedes any earlier written or oral understandings or agreements between the parties.


Please Initial Parent/Guardian Name *
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING, AND AGREE FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
UNDERSTANDING OF RISK
I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for adhering to the rules and regulations, and accept them as a participant and I further understand that the terms of the above release apply to me and my participation in any/all Dansville Community Athletic Association (DCAA) Programs and that I have given up substantial rights in exchange for participation.
Please Inital Parent/Guardian Name *
I have read the Understanding of Risk and agree
CONCUSSION INFORMATION
Please take a moment to read the concussion information sheet posted on the DCAA website. https://www.dcaa12.com/Home/concussion-information-sheet

A hard copy of this can be provided to you upon request. Please review this information with your student athlete and sign below.
Please Type Parent/Guardian Name *
I have read the concussion information sheet with my student athlete and I understand the information.
Please Type Student Athlete Name *
I have read the concussion information sheet with my parents/guardians and I understand the information.
Waiver
In the event of an injury, I understand treatment will be initiated for my child named above as soon as possible. I also understand the DCAA does not carry medical or liability insurance to cover the cost of any treatment. In agreeing below, I give permission for any medical attention necessary to be administered to my child under the direction of the coach and/or officer of the DCAA until I can be contacted and accept financial responsibility in the event that emergency personnel is called on behalf of my child. I hereby release the DCAA, its coaches, commissioners, officers and volunteers from any and all liability for personal injury or property damage resulting from my son/daughter participating in this program.
Please Initial Parent/Guardian Name *
Sponsorship Information
If you or your business would be interested in sponsoring a team please contact Jim Greiter at dcaa.soccer001@gmail.com for full details.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy