Fall 2010 Registration Form

MARION SOCCER, INC.  

REGISTRATION: 

1.       Please register by mail.  Mail completed form (bottom portion of this page) along with appropriate fee to

         PO Box 97 , Marion IL 62959.

2.        All players must register even if they played on a team in the past.

3.        You may also download forms at www.marionsoccer.com.

 ELIGIBILITY:

PreK – Boys and Girls (Must be 4 by September 1, 2010 )

Kindergarten – Boys and Girls

1st Grade - Coed

2nd Grade - Coed

1st/2nd Grade - Girls

3rd/4th Grade - Coed

3rd/4th Grade - Girls

5th/6th Grade - Coed

5th/6th Grade - Girls

7th/8th Grade - Coed ONLY (boys & girls will be combined on every team)

High School - Coed  

CUT OFF DATE:

1.        Registration will end on August 7, 2010 .

2.        Players registering after that date will be assigned to a player pool list and USED ONLY IF NEEDED.  

FEES:

1.       Fall 2010 $30.00_______     OR       Fall 2010 & Spring 2011 $60.00 ______

2.        ALL REGISTRATION(S) RECEIVED AFTER August 7, 2010 WILL BE CHARGED A $10.00 LATE FEE.  

SCHOLARSHIPS:

Parents of players unable to pay registration fees should contact registering official at 889-9255.  

NO INSURANCE FOR PLAYERS.  Marion Soccer  does not provide accident insurance for players.  Parents must provide player insurance.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

MARION SOCCER REGISTRATION FORM

Please Print

Name _______________________________________      Birth date____________   Sex ____

          (First)          (Middle)                 (Last)                           

 

Address ______________________________________Zip Code_________       Telephone ________________       Age ____                                                                                                                 

 ______$30.00 Fall 2010 payment is enclosed.        ______$60.00 Fall 2010 & Spring 2011 payment is enclosed    

Grade as of Fall '10______ Parents Name(s)________________________________ __________________________________________________________________________________       

Parents may participate in any of the following volunteer activities:                                       

Coach __________  Asst. Coach. __________  Referee ______                                      

Work in Concession Stand ________________   All parents will be required to work one shift in the concession stand. ___________________________________________________________________________________________________________________________

 

PARENTS PLEASE NOTE:  MARION SOCCER DOES NOT FURNISH ACCIDENT INSURANCE FOR PLAYERS

___________________________________________________________________________________________________________________________  

I/WE, parents of the above named youth, hereby give my/our approval for above named youth to participate in all league activities during the current season.  I/WE assume all risks and hazards incidental to such participation, and I/WE do hereby waive, release, absolve, indemnify and agree to hold harmless local league and any of its affiliates (sponsors, national franchises, supervisors) for any claims arising out of an injury to the above named youth.  

Signature of Parent ______________________________________ Date ___________________