2017 Spring Soccer Registration

ALL LATE REGISTRANTS WILL BE PLACED ON A WATING LIST AND WILL BE CONTACTED BY THE SOCCER COORDINATOR IF AN OPENING OCCURS. LATE REGISTRANTS WILL NEED TO HAVE ALREADY FILLED OUT A REGISTRATION FORM PRIOR TO BEING PLACED ON A WATITING LIST. IF AN OPENING DOES OCFUR, THE PLAYER WILL BE EXPECTED TO PAY THE FULL REGISTRATION FEE BEFORE BEING PERMITTED TO PLAY.

*Games will start on Monday, April 17 or Tuesday, April 18, depending on the age group. Picture Day will take place on SUNDAY, April 23, with games and pictures taking place on that date. Your child's coach will notify you of your schedule for this date. Traveling age groups (11-14) may have games before April 16.
Games will be played on Monday through Thursday evenings (6pm starting time) during the months of April and May (4/5 and 8-10 age divisions play Monday/Wednesday, 6/7 age division plays Tuesday/Thursday). All games for the 4-10 year olds will be played at Berrien Springs Middle School. Practices for the 4-10 yr. olds will start on Monday, April 3. Your child's coach will communicate the practice schedule to you.

*The 11/12 and 13/14 age divisions are traveling teams. While some games will be played in Berrien Springs, other games will be played in surrounding communities. Your coach will communicate the dates and times of games and practices to you when they become available. All games played in Berrien Springs will be played at Berrien Springs Trinity Lutheran Church & School. The only exception to this will be Sunday, April 23. Games will be played at Berrien Springs High School on that date.

Forms can be dropped off at any Berrien Springs Public School, Trinity Lutheran, Ruth Murdoch Elementary, or Village SDA elementary; or mailed to:
GBSRD, One Sylvester Ave., Berrien Springs, MI 49103
Players are strongly encouraged to wear soccer cleats and shin guards. Some communities require shin guards. If your child is playing on a travel team (age 11-14), not having shin guards could result in ejection from the game. Shirts are included in the registration fee.

Age groups are determined based on the age of the player on May 31, 2017.
If you have any questions, contact the GBSRD office at 269.471.2732 or e-mail jswackhamer@vaes.org

Registration fee is due at the time of form submission. Your form will not be processed without payment. Upon submitting this form you will be taken to the payment page to enter your credit card information.

Registration fee: $48.00 (age 4-10) $58.00 (age 11-14)
Family rate: (Age 4-10) 2 Children $78.00 3 Children: $103.00
Family rate: (Age 11-14) 2 Children $98.00 3 Children $133.00
*$20.00 late fee if paid after Friday, March 10, 2017
*$10.00 if not a resident of Village of BS, Oronoko Township, or Berrien Township

Forms are due by FRIDAY, MARCH 10th

All Fields Required


Last Name

First Name

Male or Female.
MaleFemale

Age

Weight

Height

Birthdate

Street Address

City

Email

Primary Phone

Additional Phone

Grade

School

Resident Of:

Does the aboved named participant have health insurance?
YesNo

Mothers Name

Fathers Name

Emergency Contact (Name & Number)

Age Group:
4-56-78-1011-1213-14

Shirt Size

WE NEED COACHES. The program can't run without volunteer Coaches! Thank you for your support. If you are able to coach please fill in your name and phone number below. Please specify if you would like to head coach, assistant coach and your shirt size.

By submitting this form I the parent/guardian of the above named participant hereby, give approval for my child's participation in the Greater Berrien Springs Recreation Department activities for the sport indicated on this form. I assume all risks and hazards incidental to such participation. I do hereby agree to waive and hold harmless the Greater Berrien Springs Recreation Department Board and its agents from any claim arising or injury to my child. Also, I have read the GBSRD Code of Conduct, and Agree to follow its guidelines.

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