Genola Youth Soccer

Player #1 Information

First Name *
 
Last Name *
 
Please Select One *
 Pre-K and K
 Grades 1 & 2
 Grades 3 & 4
 Grades 5 & 6
 Grades 7 & 8
If your child already has a jersey, you can skip down to the next question. If you need a jersey, please fill out this section. New jerseys are $20. New socks are $6. Please indicate the size below.
Jersey Size
 Youth Small
 Youth Medium
 Youth Large
 Adult Small
 Adult Medium
 Adult Large
Socks
 Yes, my child needs a new pair of socks
Gender *
 Male
 Female
Date of Birth *
 
Upcoming Grade in School *
 
Playing age as at start of season *
 
Residence in league boundary? *
 Yes
 No

Player #2 Information

First Name
 
Last Name
 
Please Select One
 Pre-K and K
 Grades 1 & 2
 Grades 3 & 4
 Grades 5 & 6
 Grades 7 & 8
If your child already has a jersey, you can skip down to the next question. If you need a jersey, please fill out this section. New jerseys are $20. New socks are $6. Please indicate the size below.
Jersey Size
 Youth Small
 Youth Medium
 Youth Large
 Adult Small
 Adult Medium
 Adult Large
Socks
 Yes, my child needs a new pair of socks
Gender
 Male
 Female
Date of Birth
 
Upcoming Grade in School
 
Playing age as at start of season
 
Residence in league boundary?
 Yes
 No

Player #3 Information

First Name
 
Last Name
 
Please Select One
 Pre-K and K
 Grades 1 & 2
 Grades 3 & 4
 Grades 5 & 6
 Grades 7 & 8
If your child already has a jersey, you can skip down to the next question. If you need a jersey, please fill out this section. New jerseys are $20. New socks are $6. Please indicate the size below.
Jersey Size
 Youth Small
 Youth Medium
 Youth Large
 Adult Small
 Adult Medium
 Adult Large
Socks
 Yes, my child needs a new pair of socks
Gender
 Male
 Female
Date of Birth
 
Upcoming Grade in School
 
Playing age as at start of season
 
Residence in league boundary?
 Yes
 No

Household / Adult Primary Contact

Home Phone *
 
Cell Phone
 
Family E-mail Address
 
Street Address *
 
Address Line 2
 
City *
 
State *
 
Zip *
 
Coaching soccer can be a rewarding experience. Everyone who coaches will receive a refund for one child's fees (excluding uniform costs) when they return the equipment to the city.
Father's Name *
 
Father Can Help As *
 Manager
 Coach
 Team Parent
 Score Keeper
 Sponsor
 Not At This Time
Mother's Name *
 
Mother Can Help As *
 Manager
 Coach
 Team Parent
 Score Keeper
 Sponsor
 Not At This Time
If you or your child would like to ref. please enter your information below. Refs are paid per game.
Name and Phone Number