Wausau Area Youth Soccer Association
PO Box 1783,
Wausau, WI 54402-1783 Phone:
842-8047
2005 Player Registration Form
REGISTRATION
DEADLINE: APRIL 17, 2004
Player Information (one player per form- please print clearly) Gender: Boy Girl
Player’s Name__________________________ Nearest WAUSAU PUBLIC Elementary School ___________
Player’s Address________________________________________ City_________________ Zip ___________
Player’s Summer Phone_____________ PRESENT Grade______
Shirt Size (check one) Youth: 14-16 Adult: S M L XL
Soccer Experience (years):
WAYSA Soccer Club Middle School High School Other
Female players in grades 4
through 11 must choose a league: COED LEAGUE GIRL’S LEAGUE
All other players will
automatically be registered in the Coed League.
See the backside for division information by grades for each league.
Parent Information:
Father’s Name_________________________________ Father’s Phone___________ Work #____________
Mother’s Name________________________________ Mother’s Phone___________ Work #____________
Because WAYSA is largely a volunteer-run organization, your participation and support is important. Please consider signing up to assist in one of the following areas:
Father (e-mail
optional ________________________) Mother (e-mail optional _______________________)
Coach/Assistant Coach Coach/Assistant Coach
Referee (circle available eves.) MO TU WE TH Referee (circle available eves.) MO TU WE TH
Board of Directors Board of Directors
The purpose of WAYSA is to provide and foster organized youth soccer for boys and girls from kindergarten through 11th grade in Wausau and the surrounding area.
The philosophy of WAYSA is to promote participation and emphasize sportsmanship, while developing skills and an appreciation of the game of soccer.
Your willingness to assist is more important than experience when it comes to these volunteer positions. Coaching clinics and referee training are held prior to the start of the season. It is recommended that you attend the clinic and/or training applicable to your volunteer position.
In consideration of permitting our child named above to participate in the activities sponsored by the Wausau Area Youth Soccer Association, Inc., we do hereby waive all claims and liabilities and forever release all claims and liabilities we now have or may have in the future against the Wausau Area Youth Soccer Association, Inc., its officers, agents, members, coaches or employees, arising in any manner or from any consideration with our child’s participation in such activities.
Parent or Guardian Signature _______________________________ Amount Paid $_______ Check No.______
Please make checks payable to:
WAYSA
Wausau Area Youth Soccer Association Recreational Soccer
League for Boys and Girls
Coed League Division (current grade)
Kindergarten, Grade 1, Grade
2, Grade 3, Grade 4-5, Grade 6-7, Grade 8-11
Girl’s League Division (current grade)
Grade 4-6, Grade 7-11
_______________________________________________________
2005 REGISTRATION
WAUSAU CENTER MALL
10:00 AM – 4:00 PM
Only parents or guardians
may register players
_______________________________________________________
Or
mail registration to: WAYSA, P.O. Box
1783, Wausau, WI 54402-1783
2005 Registration Fees: $30.00 per player $75.00 cap per family
$5.00 late registration
fee (deadline April 16, 2005)
Financial aid available
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Playing season begins in July 05, 2005 and ends August 11, 2005
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Shin guards are required at all ages
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Soccer shoes are recommended, but not required
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Deadline for registration is April 16, 2005
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One player registration per form
Parents:
Remember to complete the volunteer information on the reverse side. We are seeking volunteers for the positions of coach/assistant coach, referees, and board member. Thousands of area youth are able to play soccer in a recreational league each year because of volunteers like you. Soccer expertise is not required, as clinics and training are available through WAYSA. Thank you!