Gunston Recreation Micro-Soccer Registration
Fall 2008 Registration Form

 

Player's Last Name:  _________________  First Name: __________________

Street: ____________________________________Town:  ________________  State:  ____   Zip:  ________

Phone:  ___________________  Sex: _____  Birth date:  ___________

Email: ____________________________ School:  ____________________________ Grade:  ____________

Played Soccer?    Yes  No     Played Gunston Soccer?    Yes  No 

 

Father's Last Name:  _________________ First:  ____________Phone:  ___________ Cell: _________________

Address (if different):  _____________________________________________

Father will help with:   Team  _______ League  _______ Referee  _______ How? ________________________

 

Mother's Last Name:  __________________  First: ______________________  

Phone:  ______________________  Cell: _____________________________

Address (if different):  ____________________________________________

Mother will help with:   Team  _____  League  _______ Referee  ________ How?__________________________

 

Emergency Contact:  _________________  Relation:  _______________ Phone: ____________ Cell:  _________

Doctor:  ___________________________  Phone:  _____________________ 

Note: __________________________________________________________

Insurance Co:  _____________________  Policy #:  _____________________

 

I, The parent/guardian of the registrant, a minor agree that the registrant and I will abide by the rules of Gunston Micro-Soccer. Recognizing the possibility of physical injury associated with soccer and in consideration for Gunston Micro-Soccer accepting the registrant for its soccer programs and activities, I hereby release, discharge and/or otherwise indemnify Gunston Micro-Soccer and associated personnel, against any claim by or on behalf of the registrant as a result of the registrant's participation in the program or activities.

  Name  _______________________________________  Date __________

 Signature _________________________________________

The game is the best teacher: Gunston Soccer is dedicated to playing small-sided soccer through the majority of its age divisions. Starting at age 5, on a small field (20 yards by 30 yards) with just 3 players on a team on the field, the children’s only objective is to kick the ball and have fun. The games consist of 4 quarters of 4 or 5 minutes each quarter. Since there are a smaller number of players on the field, each child has more time (or touches) with the ball. Teams at this age are limited to 6 or 7 players. As they get older, the field gradually grows in size as more players and positions are added. In this progressive curriculum, children first enjoy the game, all the while learning the basic concepts of kicking, dribbling, and using their feet to control the ball. At the U14 division the players have finally progressed to a full size field (110 by 60 yard) field with 11 players on a team with a roster of 17 players. Consult the website for more information about our age group divisions, rosters sizes and general League information.

Parents: The backbone of the Gunston Recreational Micro-Soccer League is our Volunteers. Without volunteers, the League cannot function. There is a job for everyone, no experience is required, and we will help train you. Please select an area:

Coach_____ yes _____ no
Assistant Coach_____ yes _____ no
Referee_____ yes_____ no
Soccer Central_____ yes _____ no
Awards Distribution_____ yes _____ no

Please register early, using this form, to ensure placement on the correct team! Every effort is made to keep teams together. Pre-registration fees are applicable until July 1, 2008 and must be postmarked prior to that date. Submissions postmarked after July 1, 2008 must be for the appropriate fee detailed below. Pre-registration reduced fees are only for those players who played in the 2008 Gunston Spring Season.

U5-U9U10-U14 U16-U19
Pre-registration, July 1, 2008 $50.50 $65.50 $65.50
Guaranteed Registration, August 23, 2008 $65.50 $75.50 $75.50
Late Registration after August 23, 2008 $75.50 $85.50 $85.50

Note: If you register past the August 23rd date you will be placed on a waiting list and are not guaranteed placement on a team.

Make Checks Payable To:

Gunston Micro-Soccer
PO Box 302
Mt. Vernon, VA 22121

Opening Day Fall 2008 Season Saturday, September 20th, 2008