2023 YMCA Indoor Soccer - Registration Form

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Registration is now OPEN for the Plattsburgh YMCA's Indoor Soccer Program

Ages: Preschool - 2nd Grade
Dates: March 11 - April 29
Times: (see play times below)
Location: Y on the Oval gym

Kicker Division (3&4 year olds)

5:00-6:00 pm (Mondays)

Dribblers Division (5-7 year olds)

5:00-6:00 pm (Tuesdays)

Passers Division (7-9 year olds)

5:00-6:00 pm (Thursdays)

Registration Fee: $60 Members/$115 Community Members
***Registration Fee includes a team shirt

If you are registering more than one child, you will need to complete a separate form for each child.

Please note: We are not able to accommodate specific team or coach requests. If you are carpooling or rely on another player's family for transportation, please note that in the Special Considerations section of the form and we will accommodate the request IF we are able to do so.

There are no refunds for cancelled registrations.

Email *

Are you interested in being a Coach or Assistant Coach? *

Yes

Player's First and Last Name *

Date of Birth *

Address *

Division *

3&4 Year Olds (Kickers)

5&6 Year Olds (Dribblers)

7-9 Year Olds (Passers)

Shirt Size *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Player's Skill Level *

Beginner

Intermediate

Advanced

Parent's Name *

Parent's Phone Number *

Special Considerations

Please note if there are any special considerations, we should know about your child below. (Example: physical limitations, disability, medical conditions, allergies, etc.)

We do not accommodate special coach or team requests.

Name on Credit Card *

Credit Card Number *

Credit Card Type *

We only accept Mastercard or Visa

Master Card

Visa

Expiration Date *

Participation Authorization & Photo Release *

By typing your name in the space provided below, you certify that your child is of normal health and capable of participating safely in the YMCA Youth Sports Program. You also give permission for photographs to be taken of your child for the purpose of explaining the program and future program promotions.

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