Please fill out the following application. Once you submit the application you will be given instructions on how to complete the registration. Please remember one form for each player.

If you need to have registrations resent click here

Player's first name:*
Last name:*
MI:*
Address:*
City:*
Zip Code:*
Date of Birth*
/ /
Gender*
Nearest Vail School:*
Grade level:*
Player's phone:
()  
Player's email:
Uniform size
Father's first name:*
Last name:*
Father's phone:*
()  
Father's email:*
Where you can help?
ctrl-click(PC) or cmd-click(Mac) to select multiple
Mother's first name:*
Last name:*
Mother's phone:*
()  
Mother's email:*
Where you can help?
ctrl-click(PC) or cmd-click(Mac) to select multiple
Physician's name:*
Phone:*
()  
List any medical problems:
IMPORTANT :
I, the parent/guardian of the below-named player, a minor, agree that I and the player will abide by the rules and regulations of the USYSA, its affiliated organizations and its sponsors ("USYSA Parties"). In consideration of the player's participation in the soccer programs and activities of the USYSA Parties ("the Programs"), I, for myself and the player and our respective heirs, administrators and successors, intending to be legally bound, hereby release and indemnify the USYSA Parties, the owners and operators of the facilities used for the Programs, and their respective directors, officers, employees, agents and representatives from and against all claims, liabilities, damages or causes of action arising out of or in connection with the player's participation in the Programs including, without limitation, player's transportation to/from any Program, which transportation is hereby authorized.
Player's name:*
Parent's name:*
no:   yes:
CONSENT FOR MEDICAL TREATMENT (minor) :
As the parent or 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 Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or wellbeing of my dependent.
Parent's name:*
  no:   yes:
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Club Information:
Teams:
Recreational (U-10 and younger)
Competitive (U-11 and older)