Deerfield Parks & Recreation 2017
2017 Fall Youth Soccer
Registration Deadline is
Friday, August 4th
(No guarantee of team placement after this date)
Jamboree and Picture Day for all teams will be Saturday, September 9th.
Grades are based on grade in Fall of 2017
Pre-Kindergarten & Kindergarten Co-Ed Soccer $45
This program introduces the game to four & five year olds through a variety of fun skills, drills, & games. The program meets
for approximately 45 minutes on Friday evenings at the Bicentennial Field beginning September 8th. This program runs
through the last Friday in October (October 27th). Players should provide water bottle, shin guards, cleats, and
shorts. T-Shirts & Socks will be provided. No soccer on October 1st due to the Deerfield Fair. Times are 5:30 in
September and 5:00 in October.
Grades 1-2 , Grades 3-4, Grades 5-6 Co-Ed Soccer $60
We play in the South East NH Recreational Soccer League with Nottingham and Barrington. Additional local towns may join
us particularly in the 5-6 division.
Grades 1-2 will have games on Saturday mornings usually at 10:15. All home games will be played at Bicentennial Field.
There will also be 1-2 practices per week, depending on the game schedule. Grades 1-2 should not exceed a 3-day commitment per week. Players should provide water bottle, shin guards and cleats. Shorts, socks, and shirts will be
provided. Weeknight game times are at 5:30 in September and 5:00 in October.
Grades 3-4 will have their games on Wednesday and/or Thursday evenings and on Saturday mornings usually at 11:30. All
home games and inter-Deerfield games will be played at Bicentennial Field. There will also be 1-2 practices per week depending on the game schedule. Grades 3-4 shall not exceed a 3-4 day commitment per week. Players should provide water bottle, cleats, and shin guards. Shorts, socks, and shirts will be provided. Weeknight game times are 5:30 in
September and 5:00 in October.
Grades 5-6 will have their games primarily on Saturday and a weeknight. There will also be 1-2 practices per week depending on game schedule. Grades 5-6 should not exceed a 4-day commitment per week. Players should provide water
bottle, shin guards, cleats. Shorts, socks, and shirts will be provided. Weeknight game times are 5:30 in September and 5:00 in October.
Coaches needed.
In order to make our soccer program as successful as possible, we need YOUR help.
In registering your child all parents agree to help in some capacity.
Register online at deerfield.recdesk.com
For more information contact Deerfield Parks and Rec.
463-8811 x 305 or e-mail [email protected]
www.townofdeerfieldnh.com
Deerfield Parks & Recreation 2017
Participant Name
______________________
Fall Youth Soccer
Shirt size
Fall 2017 Grade
________________
Check #____________
_______
Total Amount Due $____________
PARENT/GUARDIAN SECTION
Last Name: ___________________________________ First Name: ___________________________________ MI: _______________
Mailing Address: _______________________________________________________________________________________________
City: _____________________________ State: ________ Zip Code: _________________ Phone (Home): ____________________
Phone (Alternative): ____________________________ Email Address: __________________________________________________
Lives with: Myself: ______ Other: _______________________________________________________________________________
Emergency Contact: _____________________________ Phone Number: __________________ Relationship:_________________
Insurance Carrier: ______________________________________ Group & ID# ___________________________________________
* Low –cost or free health insurance is available to uninsured children through NH Healthy Kids. For more information or to apply call 1-877-464-2447 or visit nhhealthykids.com
Medical Concerns: ______________________________________________________________________________________________
Program Cancellation: DPR reserves the right to cancel any program, event, or activity for any reason preventing a quality outcome. Note that money/monies paid for registration of any cancelled program will be refunded in full to registrar post cancellation.
Age requirements: DPR puts great consideration into its age and/or grade requirements. Please follow the age requirements, and understand that they are set to benefit the
participants and instructors to make the program a positive experience for all.
Refund Policy: No refunds, credits, or transfers will be issued after the first day of the class or program. Full refunds will be granted only if requested prior to the start date
of a class or program.
I/We, the undersigned legal parent/guardian of minor (s) mentioned above, give permission for any medical emergency treatment said minor might need during Deerfield
Parks and Recreation activity registered for above. Furthermore, I will not hold the Town of Deerfield, Deerfield Parks and Recreation, its staff, Volunteers, or agents responsible for any accidents or injuries occurred during said minor’s participation. I am also aware that some activities require personal Vehicle transportation and do allow my
child to ride with the volunteers of Deerfield Parks & Recreation Department without liability to volunteer. I / we agree that said minor listed above is in proper physical and
mental condition to allow him/her to participate and that I/We assume the risk of participation. I/We the parent(s)/Legal guardian(s), the undersigned have read this release
and understand all its terms. I/We execute it voluntarily and with the full knowledge of its significance. I/We have executed this release on this date indicated next to my/
our(s) name(s).
Parent/Legal Guardian Signature: ________________________________________
Date: ________________
By signing above I also agree to help the youth soccer program out in the areas listed on the reverse side.
Coaches and Assistants Info: Coaches meeting on Monday, August 14th at 6:30 and a coaches
clinic on Monday, August 21st from 6-7:30 at Bicentennial Field.
Please mail or submit in person to: Deerfield Parks & Recreation Dept. PO Box 159, Deerfield, NH 03037
For more information: Joe Manzi, 463-8811 x305 or Email us at: [email protected]
Website: www.townofdeerfieldnh.com