Valley Rush Soccer League

REGISTRATION

REGISTRATION INFO

At Valley Rush Soccer, our league is unlike any other. We provide an amazing experience with a focus on your athlete’s improvement and enjoyment.

Step 1: Fill out and submit the form below.

Step 2: Upon submit, you will be directed to pay the registration fee of $120 (a $4 transaction fee will be added when paying with card). If you prefer to pay cash, please indicate that on the form.

Registration includes:

Full Uniform (jersey/shorts/socks)
Personalized team & individual photos
Field Costs
Referee Fees
Practice Jersey

Waiver exclusion clause: By submitting this form, I hereby release, discharge, absolve, and agree to indemnify any employees/volunteers of Valley Rush Soccer League from any and all liability for injuries and illness the registrant may occur while participation in the soccer program. I hereby give my consent for program personnel to authorize any and all medical and dental treatment. In addition I agree to the rules of the fair play and conduct set for the activity. I understand that failure to do so may result in suspension of participation.

Cancellation policy: All fees are nonrefundable.

Parent Full Name

Parent Street Address

City, State

Parent Phone Number

Parent Email Address

Player Full Name

Player DOB

Gender

Male Female

Player Shirt Size

Current Club

How did you hear about us?

Players you want to play with:

Signature

I consent to submitting this information.

Second Player Full Name

Player DOB

Third Player Full Name

Player DOB

Interested in being a volunteer coach?

Yes (fill out the rest) No

Full Name

Phone

Are you willing to hold sessions?