Registration

Recreational Soccer Registration for Fall 2025

How many players are you registering?

1234

Player #1

Player First Name
Player Last Name
Birthdate
/ /
Gender
Jersey Size

Division/Price

Is this a "carded player"?
(club, travel or competitive player)
Medical Conditions

Player #2

Player First Name
Player Last Name
Birthdate
/ /
Gender
Jersey Size

Division/Price

Is this a "carded player"?
(club, travel or competitive player)
Medical Conditions

Player #3

Player First Name
Player Last Name
Birthdate
/ /
Gender
Jersey Size

Division/Price

Is this a "carded player"?
(club, travel or competitive player)
Medical Conditions

Player #4

Player First Name
Player Last Name
Birthdate
/ /
Gender
Jersey Size

Division/Price

Is this a "carded player"?
(club, travel or competitive player)
Medical Conditions

Parent #1

Interested in Volunteering?

Parent #2

Interested in Volunteering?

Home Address

SRSC Camp

Select Players to participate in SRSC Training Camp:

Payment

Amount Due:


Name on Card:
Credit Card Number:
3 Digit Code:
Expiration:

Liability Waiver Form: I, the parent or guardian for my child (“Participant”) release, discharge and/or otherwise indemnify the organization/league/club for which I am registering the child to play, Ohio Youth Soccer Association North, it’s affiliated sponsors, employees and associated personnel, including the owners of the fields and facilities utilized against any claim by, or on behalf of, the registrant as a result of his or her participation. Consent for Medical Treatment (MINOR) I hereby give my consent to have a coach, athletic trainer; emergency personnel and/or doctor of medicine or dentistry provide my son/daughter with medical assistance and/or treatment and agree to be responsible financially for the reasonable cost of such assistance and/or treatment.