Spring Soccer Registration

Spring Soccer Registration 2018-02-05T04:34:11+00:00

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.

All late registrations will be placed on a waiting list after registration form has been submitted. If an opening becomes available you will be contacted.

Registration fee: Pre/k-4th: 1 Child $48.00, 2 Children $83.00, 3 Children $120.
5th-8th Grade: 1 Child $58.00, 2 Children $105.00, 3 Children $145.00.
1 Pre/k-4th and 1 5th-8th $95.

**$20.00 late fee if paid after FRIDAY, March 16th, 2017.
*$10.00 if not a resident of Village of BS, Oronoko Township, or Berrien Township

All Fields Required

Last Name (required)
First Name
I would like to: Head CoachAssistSPONSORConcession Stand Volunteer
Age
Weight
Height
Birthdate
Street Address
City
Email
Primary Phone
Additional Phone
Current Grade
School
Resident Of:
Does the above named participant have health insurance? YesNo
Mothers Name
Fathers Name
Emergency Contact (Name & Number)
Age Group as of 4/30/18:Prek/k1st/2nd Grade3rd/4th Grade5th/6th Grade7th/8th Grade
Shirt Size: Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLAdult XXL


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 I Agree to follow its guidelines.

to proceed to payment options.