Youth Soccer Online Registration (August - October)

* Required Fields
Printer-friendly blank form
Fee: $60.00Your entry fee will pay for a shirt, shorts, socks, and a trophy.
For any questions or concerns, please contact us.
Primary Contact Information
*Primary Emergency Contact First Name
*Primary Emergency Contact Last Name
*Primary Emergency Contact Phone Number
*Primary Emergency Contact Email Address
Primary Emergency Contact Relationship
Alternate Contact Information
*Alternate Emergency Contact First Name
*Alternate Emergency Contact Last Name
*Alternate Emergency Contact Phone Number
Alternate Emergency Contact Email Address
Alternate Emergency Contact Relationship
Household Information
This is the information we will use to process any refunds that we are not able to refund directly to a credit card.
*Mailing Address
*City
State
Don't type in this field
*Zip Code
Child Information
*Child's First Name
*Child's Last Name
Child's Gender
*Child's Birthday
Please be sure to enter the correct birthday. A common mistake is to enter the current year.
Shirt Size
Pant Size
Sock Size
Desired Shirt Number
Special Requests
While we will make every effort to try and accommodate requests, we may be unable to fulfill all requests due to logistical constraints. Please use your best judgement when making special requests.
Coach Request
Friend Request
Additional Information
Additional Team Shirts
These are team shirts that will match the uniforms of your child's team. Please ensure all sizes are correct before submitting this application. Due to the custom nature of these orders, refunds/exchanges are not possible for sizes that are incorrectly requested by the applicant.
Additional Team Shirt #1
Additional Team Shirt #2
Additional Team Shirt #3
Additional Team Shirt #4
Additional Team Shirt #5
Volunteer Opportunities
If you are interested in working with the league or a team in any capacity (coach, scorekeeper, referee, etc.), you are required to register with the Stanton City Park. You can register with the link below (opens in new tab):
New Coaches and Officials Registration QR Code (png)
Registration does not guarantee a position, but it allows our league coordinators to contact you if/when a position become available.
Note:  This must be filled out every season.
Scholarship Information
We want every child to have the opportunity to participate in sports, regardless of league costs.
You can find out more information about applying for a scholarship on our website.
If you're applying for a scholarship, please do not submit this application until your scholarship application has been processed and you receive a response from the Stanton Parks & Rec Scholarship Committee.
Scholarship Code
 
Please read the entire waiver...

WAIVER AND RELEASE

STANTON PARKS & REC SPORTS LEAGUE

 

The undersigned is desirous of participating in the Stanton City Park Basketball. Baseball, Soccer, Flag Football, Corn Hole, Softball, Volleyball, or T-Ball League, (hereafter referred to as “the League”), with the games being played and the accompanying events being held at the Stanton City Park, Stanton Christian Church, Powell County High School, Powell County Middle School, Stanton Elementary School, Bowen Elementary School, Clay City Elementary School, or Emmanual Baptist Church.

 

The undersigned by the execution of this waiver and release acknowledges that there exists both inherent and unforeseen risks to the undersigned and others as a result of engaging in the above-described activity, (league basketball play), and the undersigned hereby states that the undersigned knowingly and voluntarily chooses to participate in the league and assumes all the risks associated with play in the league, both to myself and to my property. I acknowledge that the above activity may be physically strenuous and that I know of no medical or other reason why I should not participate. I knowingly and freely assume all risks, both known and unknown, and assume full responsibility for my participation.

 

I agree to comply with the stated and customary rules for participation. If I observe any unusual significant hazard during my participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.

 

I, for myself, my heirs, personal representatives and assigns, do hereby release, waive, covenant not to sue, indemnify and agree to hold harmless for any and all purposes the City of Stanton, its elected representatives, officers, officials, agents, volunteers and employees from any and all liabilities, claims, demands, injuries or damages including any court costs, attorney fees and expenses which may occur to myself, other participants, and third parties as a result of my participation and conduct in the basketball league and with activities connected with the league while on the premises or otherwise. Undersigned agrees to not hold the Stanton Christian Church responsible for any accident or loss which may occur on the premises.

 

League games will be held at the Stanton City Park, Stanton Christian Church, Powell County High School, Powell County Middle School, Stanton Elementary School, Bowen Elementary School, Clay City Elementary School, or Emmanual Baptist Church. The undersigned agrees to conduct themselves in a proper manner and to be respective of others and of the premises. When at the Stanton City Park, the undersigned agrees to abide by the posted rules for the Stanton City Park and all laws and ordinances pertaining to the Stanton City Park. When at the Powell County High School, Powell County Middle School, Stanton Elementary School, Bowen Elementary School, or Clay City Elementary School, the undersigned agrees to abide by the posted rules for that location and all laws and ordinances pertaining to the property of the Powell County School System. When at the Emmanual Baptist Church, the undersigned agrees to abide by the posted rules for the Emmanual Baptist Church. When at the Stanton Christian Church, the undersigned agrees to abide by all rules and guidelines established by the Stanton Christian Church including, (but not limited to), the following:

  1. Alcoholic beverages, foul language, obscene clothing, etc., as well as smoking on the premises is not permitted.
  2. Prayer will be conducted at the beginning of all events.
  3. No alcoholic beverages or tobacco products are permitted on the premises.
  4. Use of secular music is prohibited.
  5. An entry fee may not be charged at any event.
  6. No gambling or wagering is permitted on the premises.
  7. Premises are to be cleaned up prior to exiting the facility.
  8. Children are always to be supervised by an adult.
  9. Stanton Christian Church is not responsible for any accidents or injuries which may take place on the property or any loss of personal property.
  10. Individuals are to be respectful of other participants, officials, and others in the building at all times.

In signing this agreement, I acknowledge and represent that I have read it, understand it and sign it voluntarily as my own free act and deed. I have not relied on any oral representations or statements apart from the terms contained herein. I execute this document for full, adequate, and complete consideration of being able to participate in the Stanton City Park Basketball. Baseball, Soccer, Flag Football, Corn Hole, Softball, Volleyball, or T-Ball League.

*I have read and understand the waiver
  
Subtotal:
$ 
Early-Bird Discount:
$-10.00
Total Due:
$ 
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