New Players - read this important information...
PROOF OF AGE REQUIRED - Due to CYSA by the close of Registration
 All players new to CYSA must submit a state issued birth certificate or passport as proof of age
 Email a PDF or JPG file 300 KB or less to [email protected]
 Fax with a cover letter containing players full name to 972-304-8791 or
 Mail to CYSA at P.O. Box 354, Coppell, TX 75019
 Due to CYSA by the close of Registration
NON-RESIDENTS/NON-CISD PLAYERS - This process must be completed by the close of Registration
 If a player does not live within the city limits of Coppell or boundaries of the Coppell Independent
School District (CISD), the player must be released from his/her home soccer association before
he/she may be placed on a team in CYSA
 This is a rule of North Texas State Soccer Association that CYSA is required to follow
 Please read and follow ALL steps as outlined in the Release Packet found on The Forms page of the
CYSA website. http://coppellyouthsoccer.com/TheCYSA/Forms.aspx
 All release paperwork and procedures must be completed by the close of Registration
U5-U8 BUDDY DRAFT - Forms from both buddies are due by the close of Registration
 Two players may be placed together on a team thru the Buddy Draft as long as certain criteria are
met.
 Go to http://coppellyouthsoccer.com/TheCYSA/Forms.aspx for important details about the Buddy Draft
 Forms are available in the file cabinet outside the CYSA office
 Forms from BOTH buddies must be turned in by the close of Registration
SEASON DATES
Season game days and potential game days for U5 thru U10 are posted on the CYSA Calendar http://coppellyouthsoccer.com/TheCYSA/Calendar.aspx
COACHES NEEDED for all new teams!!
New volunteers should register as a Coach in their family profile. Instructions to complete a background
check will be emailed once a coach registers.
PLAYER PLACEMENTS ARE FINAL.
Practice nights and times are determined by the coach at the coaches meeting after registration closes and
teams are formed. Requests to change to a different team because of individual schedule conflicts cannot be
accommodated. Transfers are not allowed.
CYSA REFUND POLICY
Take note of CYSA's refund policy available on the CYSA website htpp://coppellyouthsoccer.com
Questions about any of the above information? Email us at [email protected]
F’15/04/2015
New
Player
CYSA New Player Registration Form
Player’s Legal First Name:
Legal Last Name:
Address:
City:
Sex:
M
F
Zip:
Primary Email Address:
Additional Email Address:
Date of Birth*:
*Proof of age is required the first time a player registers with CYSA. Send
Primary Phone Number:
copy of state issued birth certificate or passport by: EMAIL scanned copy to
[email protected] or FAX w/ cover sheet to 972-304-8791.
Reside in Coppell or CISD boundaries
Y
**N
**The release from your home soccer association is due by the close of registration
School:
Grade:
Parent/Guardian Name:
Home Phone:
Work Phone:
Cell Phone:
Parent/Guardian Name:
Home Phone:
Work Phone:
Cell Phone:
Age Division:
Team Name:
Release of Liability (must be signed)
I, the parent/guardian of the registrant minor, agree that I and the registrant will abide by the rules and regulation of the YSYSA, its affiliate organizations and its
sponsors (“USYSA Parties”). In consideration of the player’s participation in the soccer programs and activities of the YSYSA Parties (the “Programs”), I, for myself
and the player and our respective heirs, administrators and successors, intending to be legally bound, hereby release and indemnify the USYSA Parties, the owners
and operators of the facilities used for the Programs, and their respective directors, officers, employees, agents and representatives from and against all claims,
liabilities or causes of actions arising out of, or in connection with, the player’s participation in the Programs including, without limitation, player’s transportation
to/from and Program which transportation is hereby authorized.
Consent for Medical Treatment (must be signed)
As the parent or legal guardian of the above named players, I hereby give consent for emergency medical care prescribed by the duly licensed Doctor of Medicine or
Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well being of my dependent.
X
Signature
Print Name
Date
Registration Fees
Note: There will be a $25 service fee for any returned checks.
Reside in Coppell
3rd, 4th & 5th child discounted fee:
Do NOT Reside in Coppell
3rd, 4th & 5th child discounted fee:
CYSA Refund policy is located at www.coppellyouthsoccer.com
$85/season
$70/season
$120/season
$105/season
TOPS Players: $35/year
(The Outreach Program of Soccer –
for players with disabilities)
For Office Use Only
Check Amount:
Cash Amount:
Charge Amount:
Check #:
Date:
Approval Code:
Date:
Received by:
Received by:
Received by:
Batch #:
Date:
Batch #:
BC recv’d
CYSA Mailing Address:
CYSA Office Address:
P.O. Box 354 Coppell, TX 75019
509 W Bethel Rd, Coppell
Release Form recv’d
Office Phone: 972-304-0886
Email Address: [email protected]
F’15/04/2015