Registration

**Fall registration for all age groups is now closed.**

Players:

Please complete the registration form below. You will then be prompted to pay with a credit card via Pay Pal. Players will not be registered and will not be eligible to play until we have received confirmation of your payment. If you have any questions or concerns please contact us: http://www.mvsoccer.org/contact.php.

Per-Season Fees:

1.      Recreational & School League: $65.00 per player, $130.00 maximum per family.

2.      Mini-Kickers: $45.00.

3.      Competitive / Travel League (Spring): $175 per player. $350 per family maximum.

If you have already registered, but not paid, please click here to make on-line payment.

Financial assistance is available.

Coaches:

Click on the registration form link to the left. Print and and complete 1 copy providing the league with your contact information and coaching request.

Bring the following to Registration:

1. Completed registration form.
2. Printout confirming completion of CORI/Kidsafe Registration (MANDATORY). This can be completed at the Mass Youth Soccer Site: https://www.mayouthsoccer.org/pages/1266_cori_kidsafe_form.cfm

Thanks for volunteering!

ONLINE REGISTRATION FORM
Child's Name:
Registering For: Recreational Competitive/Travel
Age:		D.O.B.
Sex:	M F	Height:
Grade:	Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12	School:	Charter Chilmark Edgartown Oak Bluffs Pre-School Tisbury West Tisbury MVRH
Shirt Size:	adult small adult medium adult large
Parent's Name:		E-mail:
Mailing Address:
Town of	Aquinnah Chilmark Edgartown Oak Bluffs Tisbury West Tisbury
State:	MA	Zip:	02568 02557 02539 02535 02575
	Check if you DO NOT want to receive soccer mailings, including the Baystater.
Home Phone:		Cell Phone:
Emergency Contact:		Phone:
Medical Insurance
Insurance Name:		Insurance Number:
The FOVS Program may use photographs in which my child appears. I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the MYSA, the USYSA, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the MYSA/USYSA accepting the registrant for its soccer programs and activities (the "Programs"), I hereby release, discharge and/or otherwise indemnify the MYSA/USYSA., its affiliated organizations and sponsors, their employees and associated personnel, including the owners of the fields and facilities utilized for the Programs, against any claim by or on the behalf of the registrant as a result of the registrant's participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize.
I hereby give my son/daughter permission to attend the Martha’s Vineyard Youth Soccer Program.			please check to indicate permission
In case of any accident to your child, all efforts will be made to contact the immediate family. If we are unable to do so and emergency medical assistance is needed, we would like to have your permission to proceed with aid. Some hospitals refuse treatment without parental consent.
As Parent or Legal Guardian of the above named player, I hereby give my consent for the emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserver life, limb, or well being of my dependent.			please check to indicate permission
Type your name as your signature:		Date:
Special Requests: We will make every effort to accommodate requests but cannot guarantee them.
To prevent spammers from using this form please enter the validation numbers that you see on the right: