Keystone Soccer Club - On-Line Tryout Registration Form

*Player's Name:

 

*Player's Email Address:

 

Street:

City:

Zip Code:

 

*Birth Date -  mm/dd/yyyy:

    U12  U13  U14  U15  U16  U17 U18 
If not sure of USYSA age group go to Age Group Chart

*Gender:

 Male   Female

*Did you play for Keystone this past season?:

 Yes   No

*Parent or Guardian's Name:

 

*Parent or Guardian's Email:

 

*Home Phone ex.814 123-4567

 

Cell Phone ex.814 123-4567:

*T-Shirt size: 

  YL    AS    AM    AL    AXL

Any special conditions - medical or other:

* REQUIRED FIELDS

  

You WILL receive an email confirmation of your registration ... send inquiries to webmaster@keystonesoccer.com

Please print this page before submitting. 

Please bring this signed form to the tryout along with tryout fee of $15.

This year's tryout schedule is from 6:00 to 8:00 PM on the following dates:

TUESDAY JUNE 15th U12 BOYS AND GIRLS TO U15 BOYS AND GIRLS
 
THURSDAY JUNE 17th U16 BOYS AND GIRLS TO U18 BOYS AND GIRLS
 
TUESDAY JUNE 22rd U12 BOYS AND GIRLS TO U15 BOYS AND GIRLS
 
THURSDAY JUNE 24TH U16 BOYS AND GIRLS TO U18 BOYS AND GIRLS
 
At the Altoona IM Field
 
Cost is $15 INCLUDES T-Shirt
 


Please check the Keystone Soccer website (www.keystonesoccer.com) for any changes to the scheduled times or location.

My child has my permission to participate in the Keystone Soccer Club 2007/2008 tryouts, has had a physical examination within the last calendar year and is physically fit to participate in all tryout activities. In the event of illness or injury requiring emergency medical attention and I cannot be contacted at the phone numbers listed above, I hereby authorize the tryout director to act for me according to their best judgment. I relieve the Keystone Soccer Club of Central PA, Hollidaysburg Soccer Association and Altoona Area School District of any responsibility for any illness or injury that may occur. I understand that parents are encouraged to be present at all tryout activities.

Signature of Parent or Guardian __________________________________ Date ________________

Heath Insurance Company ___________________________________ Policy No. ______________

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