Attleboro Youth Soccer Spring 2003 BAYS Registration Form

ATTLEBORO YOUTH SOCCER

SPRING 2003 BAYS

TRAVELING REGISTRATION FORM

(Type-In the information on this page, print page and Mail-In to AYS)

SPRING 2003 Travel Registrant Information

Last Name:First Name:MI  Sex

Address:City: State: Zip:

Home Phone: Birthdate: Email

Mother Name : Work Phone:

Father Name: Work Phone:

Father Occupation: Mother Occupation:

Emergency Medical Information

Medical Problems:

Emergency contact Emergency Phone #

Doctor to notify:Doctor Phone:

Consent for Medical Treatment

As the registrant or Parent/Legal Guardian of the above named player, I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dental Medicine. This care may be given under whatever conditions are necessary to preserve life, limb, or well-being as deemed advisable in the event of an accident or illness during the soccer related activities in which we are voluntarily participating.
Signature:
Address:
City:State:Zip:

Uniform Size

YS YM YL YXL

AS AM AL AXL

I, parent/guardian of a minor registrant, agree that I and the registrant will abide by the rules of the USYSA, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the USYSA accepting the registrant for its soccer programs and activities (the "Programs"), I hereby release, discharge, and/or otherwise indemnify the USYSA, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or on the behalf of the registrant as a result of the registrant’s participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize.
Print Name:Date:
Signature:

Mail the SPRING 2003 Registration form to: AYS Travel Registration

C/O Thomas W. Murphy

86 Hickory Road

Attleboro, Ma. 02703

Make checks payable to: AYS Registration

Registration fees are Non-Refundable

By completing this registration form you agree to abide by the BAYS Zero Tolerance Policy and AYS Parents/Guardian Code of Conduct

Registration Fees are listed on the next page Spring 2003 Registration

NOTE: Only registered players may participate in tryouts for the Spring 2003 Season

Birth Certificate Attached Current Traveling League Player Player Played Rec. in 2000

AYS TRAVEL REGISTRATION FOR SPRING 2003 SEASON DUE BY

Nov 18th, 2002

*** Registration Forms received after Nov 18th shall be placed onto a waiting list ***

Registration Fees: Individual $50, Family $70

Late Registration Fees after Nov 18th, 2002

Individual $65, Family $85
Late Registration Fees after Dec 15th 2002

Individual $70, Family $90

Deadline for SPRING 2003 Travel Registration is January 15th, 2003

Attleboro Youth Soccer is made up of VOLUNTEERS, our registration fees are kept low by the work these volunteers put in. We are in need of additional volunteers for the upcoming season, please sign up to help in one of the areas listed below. Your willingness to help will continue to keep our fees at one of the lowest in the BAYS league. Thank You in advance for your support.

Please check off any of the areas that you could volunteer to help AYS (M for Mom, D for Dad)

Sponsor Team	Coach	Cash	$
Referee (13 years or older)	Asst. Coach	Check #	$
Concession Stand	Telephone Work	Financial Aid	$
Line Fields	Nets (Setup/Disassemble)	Family Fee

Volunteer Name: _______________________________

Telephone. #:__________________________________

Our dedicated soccer phone line is 226-7627 (SOCR).

Questions, comments, etc. feel free to leave a message.