Soccer Registration

    Please complete the form in its entirety. DO NOT press the back button during the registration process. Please fill in all the required information. If a field is mandatory, you will not be able to move on until it is filled in. Signup from April 14th to May 23rd. From May 24th to May 30th, a $50 late fee will be assessed. NO registrations accepted after May 30th. Please read each league description and understand which one to select for your child or children. No Refunds will be permitted .

    ** Days are subject to change **

    Little Kickers: Pre-K/K COED (U6) - Must be 5 years old by 7-31-2025 - Cost $50.00 and plays on Tues/Thurs.

    Passers: 1st and 2nd Grade COED (U8) - Cost $50.00 and plays on Mon/Weds.

    Wings: 3rd and 4th Grade (U10) - Cost $65.00 and plays on Tues/Thurs.

    Strikers: 5th and 6th Grade (U12) - Cost $65.00 and plays on Mon/Weds.

    Kickers: 7th and 8th Grade (U15) - Cost $65.00 and plays on Tues/Thurs.

    If you are ready to continue and complete the registration process, click next.

    MaleFemale YesNo
    YesNo
    MaleFemale YesNo
    Club SoccerVolleyballCross CountryOther YesNo YesNo

    VOLUNTEERS ARE NEEDED - IF NOONE VOLUNTEERS THEN THAT AGE GROUP MAY NOT PLAY

    The organization is always in need of volunteers, coaches, referees, etc. to assist in having a successful season. Please consider on of these opportunities to give back to your community! Again, if an age group does not have any volunteer coaches, that age group may not get to play!

    Please check all or any of the following if you would like to do (Must be at least 9th Grade) - Lining Fields and Referees are paid positions:

    YESNO YESNO YESNO YESNO

    Please enter your initials below:

    CONSENT FOR MEDICAL TREATMENT (MINOR)

    I hereby give my consent to have a coach, athletic trainer, emergency personnel and/or doctor of medicine or dentistry provide my son/daughter with medical assistance and/or treatment and agree to be responsible financially for the reasonable cost of such assistance and/or treatment.

    YesNo

    Please Initial below

    WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19

    &

    ASSUMPTION OF RISK/WAIVER OF LIABILITY/INDEMNIFICATION AGREEMENT

    In consideration of being allowed to participate on behalf of PCYSL (Putnam County Youth Soccer League West) athletic program and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

    1. Participation includes possible exposure to an illness from infectious diseases including but not limited to MRSA, influenza and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist;

    2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation;

    3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately;

    4. I, for myself and behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS PCYSL their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

    I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY INITIALING IT, AND INITIAL IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities.

    PARENT'S CODE OF ETHICS

    As parents, we will abide by the rules of the game and treat the referees with respect, no matter what he/she calls. Help maintain a climate of enjoyment among spectators by discouraging negative remarks and/or harassment of players, referees, coaches, and other spectators. Exhibit exemplary conduct at games as team discipline reflects the parents’ attitude 100%. By initialing and dating below, I confirm that I(we) have read the Code of Ethics and will do our part to uphold these values. Any parent or sibling not following the code of ethics as seen by the coach or referee may face disciplinary actions. They will be reported to the soccer board and based on the situation and severity, may receive a warning or suspension from attending any games.

    LINDSAY'S LAW

    Lindsay’s Law went into effect in 2017 to inform and educate students and youth athletes participating in or desiring to participate in an athletic activity, their parents, and their coaches about the nature and warning signs of sudden cardiac arrest. It is a requirement that all parents and student athletes under age 19, watch the video and review the handout. They can be found at:

    Linsay's Law Site

    Please initial below acknowledging that you and the participant(s) have watched the video and reviewed the handout.

    You are now ready to complete the registration process and move to the payment processing. Please proceed to checkout using the SUBMIT button and then complete the checkout process.