Travel League Registration

To register your child for the RAYS Travel Soccer League, you may complete this form online and send a check or money order for the registration fees listed below with a copy of your child's birth certificate, to:

RAYS Post Office Box 121 Rossville, IN 46065.

Select Appropriate Travel Session: *

Player First Name: *

Player Last Name: *

Gender: *

Male

Female

Player's Date of Birth: *

mm/dd/yyyy

Birth Certificate:

Birth Certificate is on file with RAYS

Birth Certificate will be sent with Payment

Years of Soccer Experience: *

Mailing Address: *

City, State and Zip: *

Phone Number to reach player for practice/scheduling:

eMail to reach Player for league and game announcements:

Jersey Size:

Shorts Size:

Primary Contact - Parents Name: *

Most often this would be the Parent(s) or the Legal Guardian for the player.

Primary Contact Phone: *

Secondary Contact (other parent or responsible party):

This contact is used in case we are unable to reach the primary parent/contact.

Secondary Contact Phone:

Comments or information we need to know...:

Consent for Participation: *

By selecting here I attest I am the parent or legal guardian of the registered player named above and hereby give my consent for this player to participate as a member of the Rossville Area Youth Soccer League. I certify that the player listed above is in good physical condition as required by the United States Youth Soccer Association. I understand that Rossville Area Youth Soccer (RAYS) does not carry health or accident insurance. I will not hold RAYS, its board members, its coaches, volunteers and referees responsible for any injuries during or in route to practices, games or tournament play. Furthermore, I agree not to hold Indiana Youth Soccer Association, the Central Indiana Youth Soccer League, G.I.R.L.S., or any of their agents responsible for any injuries received in conjunction with participation in the program.

I also understand from time to time RAYS or other participants will take pictures during games, practices and other organization activities. I hereby grant the RAYS permission to use the registered player's likeness in a photograph in the organization's publications, including website entries, without payment or any other consideration. I hereby irrevocably authorize RAYS to copy, exhibit, publish or distribute this photo for purposes of publicizing RAYS programs.

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