JOIN LAUREL SOCCER CLUB THIS SPRING
Register on I in e at: www.
Mobi le Users use : HTTPS ://LAU
la u
relsoccerclu b.com
RE LSOCCE RCLU B.Sl
PLAY.CO M
or mail to: Laurel Soccer Club, P.O.Box 8053, New Castle , PA L6L07
Practices and games run from mid March through early June
Name:
Date of Birth:
( La
Address
st)
E
:
MailAddress
one: Boy
Girl
Zip Code
:
:
Number of years playing soccer:
Grade:
/ Guardian Name:
Relationship:
Primary Phone:
Parent
State:
City:
School:
circle
First)
:
Primary Phone
Parent
(
Cell Phone:
/ Guardian Name:
Relationship:
Primary Phone:
Cell Phone:
Add'l Emergency Contact:
Relationship:
Primary Phone:
Cell Phone:
EVERY PLAYER MUST HAVE ON FILE WITH THE LAUREL SOCCER CLUB INC. A COPY OF THEIR BIRTH CERTIFICATE, IF THIS IS
THEIR FIRST TIME PLAYING FOR OUR CLUB OR YOU HAVE NOT PREVIOUSLY SUBMITTED A COPY. THEN A COPY MUST BE
SUPPLIED BEFORE CHILD IS PERMITTED TO PLAY.
U-6
U-8
In-house U-6 & U-8 programs allgames played on Saturdays at Laurel home field
1/1./2011.thru 12/31,/2012(Tee Shirt included in registration)Circle one: YS(6-8) YM(10-12) YL(14-16) AS AM
1'/1"/2OOgthru L2/31,/2010 (Tee Shirt included in registration)Circle one: YS(6-8) YM(10-12) YL(14-16) AS AM
U-10
In-house U-10 travel program, played on Saturdays,
half of the games played at Laurel, the other half played at neighboring clubs
1./I/2007 thru 12/31/2008(Tee Shirt included in registration) Circle one: YS(6-8) YM(10-12) YL(14-16) AS
AM
U-12 & up Travel program, all games played on Sundays,
half of the games played at Laurel, the other half played against teams up to an hour and a half away.
TRAVEL JERSEY REQUIRED - Must be purchased, if first time playing at travel level (order on back)
u-1.2
1,
/ 1, / 2OO5 Ihr u
u-14/\s
1.
/ / 2OO2 thr u t2 / 31./ 2OO4
u-16/19
I / 1. / 1998 thr u 12 / 31./ 2OOI
12 /
3t / 2006
1.
FORM IS CONTINUED ON REVERSE SIDE, BOTH SIDES MUST BE COMPLETED AND SIGNED
AL
Age Group (player is registering for
I
-
see explanation of age groups on front of form):
would like my child to play up to Age
I need
Group:
(This is only permitted if preapproved by the club)
{only list one, NOT GUARANTEED, we will try to accommodate if possible)
to carpool with:
Medical lssues: (Please list any allergies, or ailments the club should be aware of)
COST TO PARTICIPATE:
Registration Fee(payment recv'd before tlStlLT :5 70.00
ln House program Late Fee (if paying after 2ltl17 (for U-6, U-8 & U-10): S 15.00
Travel program Late Fee {if paying atter ZlLltTXfor U-12 & up): S 25.00
TravelJersey, circle one: YS YM YL AS AM AL AXL AXXL AXXXL: S 25.00
Black Shorts, circle one: YS YM YL AS AM AL AXL AXXL AXXXL: 5 f Z.OO
Black Soccer Socks, circle
one:
OSY
(youth)
OSR
(regular) OSK (kine) $S.00
Adult Shirt, personalized on back
-(wording)
circle one: YS YM YL AS AM AL AXL S 18.00 AXXL AXXXL 5 21'00
Adult Shirt, personalized on back
-(wording)
circle one: VS YM YL AS AM AL AXL S 18.00 AXXL AXXXL S 2L.00
Donation to Laurel Soccer Club (Any amount will help)
TOTAL ENCLOSED
MAKE CHECK PAYABLE
TO:
PLEASE HELP YOUR CLUB
Must circle one!!
Coach
Assistant Coach
Referee (Paid position)
Administrative
Concession
Board Member
Field Help
Other
(how can you help)
Laurel Soccer Club, P.O.Box 8053, New Castle, PA1-6107
NOTICE OF RELEASE OF ASSOCIATION
I am a parent / guardian of the minor child, named below as "Playei'. ln consideration of the accepiance of the player as a participant in the soccer
program offered by Laurel Soccer Club, Inc. have read, understand and agree that;
School DistrictorRecreationAssociation.
(A) Theclubisapennsylvanianon-profitorganizationstaffedbyvolunteers,andisnotpartoftheLaurel
(B) The sport of soccer is an active contact sport that entails risks and hazards that can result in injuries to players.
(C) Nophysical examinationoftheplayerisrequiredbytheclubandanysuchexaminationistheresponsibilityoftheparentorguardian.
(D) Any medical insurance provided by the club is secondary. lf a player does not have primary insurance, this coverage becomes primary, but will only
apply to Laurel Soccer Club activities.
(E) The player has no known previous or existing physical or mental incapacities that would increase the normal risks and hazards of injury to the player
or others.
(F) The club has permission to use group photos from practices, games or club events on its'website.
BY PARTICIPATING IN LAUREL SOCCER CLUB ACTIVITIES, I AGREE
(1) Inappropriate or hostile behavior by a player or his / her family may result in the player or family member being removed from participation in the
Laurel Soccer Club for a limited time or permanently.
(2) To remember coaches are volunteers, they should be treated with respect even when I do not agree with them.
(3) | will not openly criticize the decision of coaches or officials.
(4) To never approach a player, coach or official on or off the playing field in a negative or confrontational manner.
(5) | will not condone loud or abusive language and gestures while at at games, either ai home fields or away games.
(6) To not forget; a soccer game is a form of recreation and not a life and death struggle. I will keep a rein on my emotions regardless of who wins or
loses.
Any questions, concerns or issues concerning the actions of a coach, official, player or club personnel should be addressed to the club president or
referee assignor after a practice or game, if possible in writing.
Today's Date
Parent / Guardian Name (please print)
Player Name (please print)
Parent / Guardian Signature
Laurel Soccer Club, lnc. P.O.Box 8053, New Castle, PA 16107, questionsT24-53A-2967, www.laurelsoccelclub€Qm