Spring 2012 Registration

Carterville Soccer is open to all grades… Pre-K through 12th. (Children must have turned 4 years old by March 1, 2012)

Remaining spots will be given in order they are received.


 

All SHADED FIELDS are Required Fields

Player Information

First Name:
Last Name:
Age:
Grade:
DOB (mm/dd/yyyy):
Experience:
Jersey Size:
Gender:

Parent Details

First Name
Last Name
Email Address
Address
Address 2
City
State
Zip
Phone
Cell Phone
Carrier
At least one phone number is required.

Coaches / Volunteers

Carterville Soccer needs coaches and volunteers! Please indicate here how you might be willing to assist us this Fall.

Name (First and Last)
Interested in:
Age Group:

Comments

Agreement

I acknowledge that my registration is not complete until I complete the payment process of submitting the $40 through Paypal on the following page. Registrations submitted without payment will be deleted.



 


We Need Sponsors! If you are interested in sponsoring a team, a field or one of our travel teams please click HERE

We Need Coaches and Volunteers. If you are interested in coaching a team, or helping Carterville Soccer in any capacity please click HERE.

Payment Only?

If you have submitted a hard copy of the registration form and you simply need to make a payment, you can use the button below:

Players Name

Registration and Medical Forms

Spring 2012 Registration Form

Medical Release Form