June 25 @ 8:00 am - 5:00 pm
Youth Soccer for the fall season begins
July 10 and ends August 28.
Registrations are due by June 25
In-district fee is $55
Out-of-district fee is $60
Name: __________________Age: ___ Male/Female
Parent’s Name: _____________________________
City: ______________ Zip: _________Phone: __________
Emergency Phone: _______________________
Emergency Contact: ______________________
Medical Conditions: ______________________
Names of Siblings Playing: _________________________
T-shirt size (please circle size):
YS YM YL AS AM AL AXL
Has your child played before? _____
Would you coach? ______
Would you coach with someone else? _____
We need coaches in order to have teams. Please make yourself available and say yes to coaching.
The Watseka Park District and its affiliates will not be held responsible for any injury or accident which occurs during your child’s participating in the soccer season. As a parent or guardian, I realize that I am responsible for my child’s conduct during this activity. I further understand that there is a zero policy regarding the use of tobacco at the soccer fields.
Parent’s Signature Date