SPRING 2011 REGISTRATION BEGINS!
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SBYSL REGISTRATION

* ALL INFORMATION IS REQUIRED TO REGISTER *

:: PLAYER INFORMATION ::
 
 
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:: PARENT INFORMATION - MOTHER ::
 
 
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:: PARENT INFORMATION - FATHER ::
 
 
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:: SOCCER INFORMATION ::
   



:: MEDICAL INFORMATION ::
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:: PARENTAL CONSENT INFORMATION::
UNDERSTANDING OF USYS RULES: I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the USYS, its affiliated organization and sponsors and have read the Players Affiliation Agreement on the back of this form. Recognizing the possibility of physical injury associated with soccer and in consideration for the USYS release, discharge, and/or otherwise indemnify the USYS, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the programs, against and claim by or on 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 here by authorize.

CONSENT FOR MEDICAL TREATMENT (MINOR): As the parent or legal guardian of the above-named player, 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 the life, limb or well-being of my dependant.

PARENT/GUARDIAN ACKNOWLEDGEMENT: By checking this box, you agree to use an electronic signature in lieu of a paper-based signature. You understand that electronic signatures, just like your signing a piece of paper, are legally binding in the United States and in other countries. You further agree not to electronically sign any form without first reading it and ensuring you have accurately filled out the form to the best of your knowledge.

SBYSLNV Protection of Personal Information Principles was created to ensure we preserve the confidentiality, accuracy and security of your personal information. These principles guide us in the collection, use, retention and disclosure of your personal information. SBYSLNV does not have access to your financial information while using the online shop, online payment system, and or online scheduler, as this task is performed through the secure online payment system of gotsoccer.com and authorize.net.

Using your personal information - SBYSLNV only uses and discloses your personal information for the marketing purposes identified to you when your consent was obtained. SBYSLNV does not provide your personal information for marketing purposes of other organizations without your consent.

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