First Name
Last Name
1. Player
Name:
2. Address:
Number and Street
Apt. # City
State Zip Sub-Zip
-
3. Home Phone Number:
ex: 123-456-7890 or 456-7890 (do not enter 513 area
code, its not needed)
4. Son's Birth Date: ex:
1/14/2000
5. Public Elementary School Area:
Please select one of the public schools or nearest
locations in the box below. This information is important when
assigning players to teams and for the Park District to assess
fees.
6. Parent's
Name:
7. Email
Address:
8. Parent's Comments:
The SCSA is a volunteer organization that is always in need of
help. We are always looking for qualified coaches and referees
to help work with the players in our organization. We provide
training for new coaches and referees to ensure quality
training for everyone. We also need help in administering our
program with player placement representatives, manuals for
coaches, summer camp, etc.. In the space provided below,
please provide us with how you would like to help maintain our
organization:
If you would like more
information on how you could help the organization, please
send an e-mail to the President of the SCSA
and someone will contacting you directly.
president@scsa-soccer.org
PLEASE! Take a second to review the
data you are submitting for accuracy.
THEN, click the SUBMIT button below. Thank you for registering
on line!!!
