Ohio Youth Soccer Association North

Bay Area Soccer League
Rec League Registration
P.O. Box 1111
Sandusky, Ohio 44871-1111

Player Registration

$30.00 Registration Fee

Season : Spring 2009
First Name:
Last Name:
 Middle:
Date of Birth:
 Month:
Day: Year: Gender:
Boy Girl
Birth Certificate:
Not on File On File at BASL
Address:
City:
Zip:
Phone:
School District:
Grade:
eMail Address:
Age Group will calculated by the computer based on DOB. Age Groups are: U6, U8, U10 and U12.
Check this box if your child is an exceptional player and you would like to have them play up an age group.
       
Mother's Name:
Father's Name:
Address:
Address:
Cell or Other Phone:
Cell or Other Phone:
       
Coach's Child: If you are planning on coaching your child's team you need to register as well under the coaching section.
Player Request: You can request to play with a sibling or best friend. There are NO guarantees that you will be on the same team, but we will do our best to try and accommodate your request.
Coach Request: You can request a certain coach. There are NO guarantees that you will be on that coach's team, but we will do our best to try and accommodate your request. We are limiting a coach to his on children and 2 other players from the request list.
LIABILITY RELEASE

I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the USYSA, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the USYA accepting the registrant for its soccer programs and activities (the"Program"), I hereby release, discharge and/or otherwise indemnify the USYSA, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs and/or being transported to or from the same, which transportation I hereby authorize.

CONSENT FOR MEDICAL TREATMENT
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 life, limb or well-being of my dependant child.
REFUND POLICY
From sign-up until the 2nd game of the season, BASL will issue refunds (less a $15 service fee) if a player must drop out for any reason. After the second game NO REFUNDS will be given.
 
By signing below you agree to abide by our liability release, give consent for medical treatment as specified above, and acknowledge our refund policy.
 
NAME (printed)
   
       
SIGNATURE
DATE
   

Please Do NOT click on the Register Player button twice. Registering does not require a credit card. Registration fess can be mailed to :BASL, PO Box 1111 Sandusky, OH 44871-1111 along with your signed registration form.