REGION
PROGRAMS

Spring Soccer Sign Up Form

( NOTE: You must fill out a separate form for each child registered )

Please complete the form below and mail payment to the address listed below.
(* mandatory to select)

Yes, we are interested in Spring Soccer. *
Yes, we understand the purpose of this program is to offer a fun, family activity.*
Yes, we understand that coaches and referees are volunteers. *

I understand that I could improve the quality of the program by volunteering. I understand that my child’s participation is based on available space, coaches and referees. The home team provides two referees and the visiting team provides one referee per game. In the Under 5/6 division, each team will supply a referee for half the game.

Yes, I am interested in coaching.
Yes, I am interested in refereeing.
Yes, I am interested in lining the field (Striper and paint will be provided by the region)

Child Information

Child's Gender: Boy Girl


Child's First Name: Child's Last Name:

Child's Age Child's Birthdate Format: mm/dd/yyyy

Preferred Division: (limited to the discretion of league officials)

Parent Information

Parent 's First Name Parent's Last Name

Parent's Address: Include Address/ City/ ZIp Code

Phone Number Format: (123) 123-4567

E-mail address Retype e-mail address

Payment

Please make check payable to "AYSO Region 88" in the amount of $30 and mail to:

Daren Reid
Spring Soccer Coordinator
3104 Harmony Place
La Crescenta, CA 91214

- Please put your child's name on the check memo.

All On-Line Registration must be in by April 16th. (No Exceptions!)

If you require more details, please email Daren our Spring Season Coordinator at spring2@ayso88.org

Have fun!