Online Registration

Online Registration Fall 2012 / Spring 2013 Season

This registration is for All Divisions, Scooters - U19

Scooter Shooters registration fee is $58

U6, U8, U10, U12 & U14 registration fee is $98

U19 online registration fee is $68 **** note U19 is for Fall 2012 season only ****

*All registration fees include a $3 service fee to pay by credit card

Note: If your child has not played in SCSYSL before you must provide a copy of their birth certificate. Contact the registrar.

Refund Policy: There will be a $10.00 administrative fee for all refunds

ABSOLUTELY NO REFUNDS AFTER August 1, 2012

First Name: *
Last Name: *
Fathers Name: *
Mothers Name: *
Email Address: *
Address: *
City: *
Zip Code: *
Date of Birth (dd/mm/yyyy): *
Division:
Gender:
Phone: *
Request to play with siblings, friends or team.
	I / we certify that the information contained on this form is accurate and true. I recognize that soccer has ingerent risks. I certify that my child is fit to play the sport. I / we waive and release and will indemnify the St. Clair Shores Youth Soccer Leage (SCSYSL), its coaches, referees, board members and volunteers from any and all claims and expenses of any kind as a condition of child's registration. My child and I agree to abide by the rules of SCSYSL. I give consent for emergency medical care to be rendered to my child. This care may be given under whatever conditions are necessary to preserve the life, limb and well being of my child.
Date:
Parent Name Submitting Online Form: *
Security Code: *