Name_____________________________________ School_________________________________

Address __________________________________ Phone________________________

AGE______ Birth Date_____/______/_____

Grade in Sept. 2008____________

Male_____ Female_____ EMAIL: _______________________

Years Rec League Experience________ Years Travel/Competitive League Experience________

Siblings playing this season (name and grade/age)______________________________________________

Does your child have any current conditions that limit his/her ability to participate in soccer?

If "Yes", please identify/explain any modification that would enable your child to participate:

______________________________________________________________________________________

______________________________________________________________________________________

Please provide information about allergies or medical conditions in case of an emergency (attach additional sheets if necessary):___________________________________________________________________________________

I/We, the parent(s) of the above named child, give my/our approval for said child to participate in any and all Coed Youth Soccer activities, including transportation to and from the activities. I/We understand that participation in Coed Youth Soccer may result in serious injuries and that protective equipment does not prevent all injuries to players. I/We hereby waive, release, absolve, indemnify and agree to hold harmless the Town of Moreau, sponsors, participants, coaches and persons transporting my/our child to and from activities for any claim arising out of any injury to my/our child whether the result of negligence or any other cause.

Parent(s) or Guardian(s) Signature:________________________________________________________________

Name of Family Medical/Hospitalization Plan _______________________________________________________

       [Circle shirt size ]                                                  PAID                                              

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                                                        Volunteer Information

Coaches are needed at all levels. No experience needed - just the desire to help our children learn to enjoy a team sport.

Child's Name:__________________________________Parent's Name:_______________________________

Phone:_________________________

I am interested in volunteering for one or more of the following: Coach_________ Assistant Coach__________

FALL REC SOCCER SIGN-UPS

Moreau Recreational and Instructional Soccer Program

The Town of Moreau Recreational Soccer sign-ups will be held on Saturday, May 3rd and Saturday, May 10th (9am - till noon), at the Moreau Town Hall, 61 Hudson Street, South Glens Falls, NY or mail this form in with a $10 fee to Town of Moreau at P.O. Box 1349, South Glens Falls, NY 12803. 

Play will begin on September 6th and end on October 30th. The program is for all children entering grades kindergarten through fourth in separate divisions and fifth and sixth graders in the same division.  One division for girls and one for boys. All children will play once during the week and once on Saturdays for 90 minutes, with time split between instructional skills and games.  (Saturday only for kindergarten.) 

This program has grown tremendously over the years, and in 2007 exceeded 750 children. The last few years it has been a challenge to get sufficient parents involved in coaching or assisting for some age levels.

We need parents to sign up to coach. You do not need to know anything about the game of soccer. Without enough coaches, we can not have a program.  So please consider signing up to coach when you sign up your child. If you want to coach with another parent, that can be arranged.

PARENTS: Late sign ups have become a significant problem. I must order over 750 uniforms, and assemble over 70 teams. Please make every effort to sign up at the stated time. This year there will be a ten dollar late fee after May 10th.

After July 1st there will be  no late sign-ups except new people moving into the district. When the teams are full, no players will be added.

The sign up form is on the reverse side of this notice. Thank you.

Please direct any questions to the Town of Moreau Recreation Department at 793-0196.

Stephen W. Gram

Director of Facilities and Recreation