Registration
Hull Youth Soccer
Hull, Massachusetts
*click on age group table above to see where your child falls this year
Hull United Youth Soccer
Registration
Fall 2010 - Spring 2011
In Town
FEE: $80 per child (Payable to Hull Youth Soccer)
Travel
FEE: $155 per child (Payable to Hull Youth Soccer)
(If U10 moving to travel, an $65 add'l fee required)
*There will be a $20 fee added for late registrations, as well as a $25 bounced check fee. Also, please note: Registering & participating in the Fall will guarantee you a spot on the Spring Travel Roster. If you do not register or participate in the Fall, you will not be guaranteed a spot.
Mother's Name:
Street Address:
City:
State:
Zip:
Phone:
Date of Birth:
M/F:
Grade:
Medical Problems:
Person to Notify in Emergency Name & Phone:
Doctor to Notify in Emergency Name & Phone:
Parent/Guardian Information
Mother's Phone:
Mother's Email:
Are you willing to volunteer?
Father's Name:
Father's Phone:
Father's Email:
What are you skills?
Are you willing to coach?
Which league?
Release and Rules Compliance
I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the USYSA (and MYSA and HUYS), its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the USYSA (and MYSA and HUYS) accepting the registrant for its soccer programs and activities (the "Programs"), I hereby release, discharge and otherwise indemnify the USYSA (and MYSA and HUYS), its affiliated organizations and sponsors, their employees, associated personnel and volunteers, including the owners of fields and facilities utilized for the registrant's participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize.
As parent/guardian of the child(ren)) listed here, I hereby waive, release, indemnify and agree to hold harmless Hull United Youth Soccer (HUYS) and its organizers, employees, volunteers, sponsors and participants for any and all claims of any nature, whatsoever, for injuries and consequensial damages which may be sustained by the child arising out of or in the course of participation in this program.
Signature:
Consent for Medical Treatment
As parent/guardian of the child(ren) listed here, I hereby give my 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 life, limb, or well-being of my dependent.
Signature:
After pressing submit, please return to this page. You can pay your registration fees online using Visa/MC or by mailing a check, made payable to Hull United Youth Soccer, to:
Hull United Youth Soccer
PO Box 237
Hull, MA 02045
Name:
*All applicable questions must be answered. Incomplete forms will be returned and you will be asked to resubmit. Thank you.
Player Information
**Please note: This entire registration needs to be filled out. Your Paypal receipt alone does not guarantee your registration.
All Content © 2006-2009 Hull Youth Soccer
Web Design & Maintenance by Gervaise Designs
Click here for downloadable registration form
