Putnam County Youth Soccer Association
Recreation League Player Registration, Spring 2016
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Complete both sides of the top half of this form and submit appropriate fee by March 1st
 Registration Fees: U4 (Little Kickers) = $35, All other age groups = $60
 After March 1st, pay the late registration fee (add $10 to regular fee)
 No registrations will be accepted past March 8th
 Mail forms to: PCYSA, PO Box 952, Greencastle, IN 46135: checks payable to PCYSA
Register online at www.pcysa.com. Online registration offers Monthly Payment Options & Multiple Child
Discounts. Please contact the club treasurer at [email protected] for more information
Player Information
Name ___________________________________
Date of Birth
____/____/______
Age __________
MM/DD/YYYY
Address
_______________________________
Grade _____
_______________________________
Home Phone
Parent/Guardian Name(s)
Email Address
_______________
Gender:
M ___
F ____
Cell Phone
______________
___________________________________________________________________________
____________________________________________________________________________________
Emergency Contact
T-Shirt Size
(choose only one)
_______________________________________________________
Youth:
S (4-6) _____
Adult:
S _____
M (8-10) _____
M _____
L _____
Phone
______________
L (12-14) _____
XL _____
XXL _____
Turn over form and SIGN and COMPLETE other side.
Cut off and mail in top portion. Keep bottom for your information.
_________________________________________________________________________________________________________________________________________________________________________________
Spring 2016 Age Groups:
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U4(Little Kickers): birthdays between 8-1-11 and 4-09-13
(Must turn 3 on or before April 9, 2016)
U6: birthdays between 8-1-09 and 7-31-1; Size 3 ball
U8: birthdays between 8-1-07 and 7-31-09; Size 3 ball
U10: birthdays between 8-1-05 and 7-31-07; Size 4 ball
U12: birthdays between 8-1-03 and 7-31-05; Size 4 ball
U14: birthdays between 8-1-01 and 7-31-03; Size 5 ball
Recreational League soccer is PCYSA’s intramural soccer division. It consists of teams from U4 (Little Kickers) to U14 (Under-4 to
Under-14). Players will be placed on teams based on their ages. Rec League soccer is an instructional league with emphasis on fun
and development. If you have any questions, please contact Rec League Coordinator Jamie Smith by e-mail at
[email protected].
**New This Season, Please Read** Required Equipment for Play: All players will be required to have cleats/tennis shoes, shin
guards, and **his/her own soccer ball** for each practices and games (see age group listing above for ball size). Coaches will only
be provided with three or four soccer balls, the only way to ensure that your player has a ball to use is if you bring your own. This
will also help with the development of your player!
Team assignments: Siblings will be assigned to same team IF they are at the same level. Any parent who coaches will be placed with
his or her child. No other special request (relating to friends, transportation, favorite coach, etc.) will be considered.
The first 2016 Spring Season soccer game will be held on April 9 , 2016. The season will be played on 7 weekends (7 games for
U4/U6/U8; 6 games and a jamboree for U10/U14). All games will be held on Saturday mornings at the Big Walnut Sports Park. The
U4 age group, Little Kickers, will ONLY play on Saturdays. They will not have practices during the week. All other teams will
practice once a week beginning the week of March 28 as weather allows. See Important Dates on the back of this sheet for more info.
th
Community Based Teams: If you do NOT live in Greencastle and would like your child to be considered for a community-based team (numbers
permitting) that MAY practice near your home but will still play its games in Greencastle, check the community nearest your home below (the only
guaranteed practice facilities are at Big Walnut Sports Park):
Cloverdale _____
North Putnam (Bainbridge/Roachdale) _____
Other (list community) _______________________
Medical Release (your child may not play until this is signed): I hereby acknowledge that my child may be injured by participating
in this sport. I am aware that there is no Benefit Fund for participants in this program, and I agree to assume personal responsibility
for any injuries that my child may suffer. I do hereby release and discharge PCYSA and their respective agents, officers, coaches and
all volunteers, Big Walnut Sports Park, City of Greencastle, and Greencastle Community Schools from all claims, demands, or
damages due to any injury. In the event of a medical emergency, I hereby give my consent for a PCYSA representative to obtain
medical treatment for the player named on this form.
_________________________________________________________
____________________________________
Parent or Guardian Signature
Date
WE NEED YOUR HELP! Please choose one or more of the options below.
Head Coaching _____
Assistant Coaching _____
Board Member _____
I am interested in:
Fund Raising _____
Concession Stand _____
Referee _____ (refs paid by age group)
Other __________________
Team sponsors are needed! (Contact [email protected] for pricing)
______
Yes, please contact me about sponsoring a team for one or two seasons (Spring and Fall).
Business Name ______________________________________
Phone Number ________________________________
Contact Name _______________________________________
Billing Address _______________________________
Donors and Player Sponsors are also needed!
______
Yes, please contact me about sponsoring one or more players so that they can play in the league.
______
Yes, please contact me about making a financial donation to PCYSA.
For PCYSA use only:
Date Paid __________
Fee Paid ______________
Cash ____________
Check # _________
Donation ________
Comments _________________________________________________________________________________________
Cut off and mail in top portion. Keep bottom for your information.
2016 SPRING SEASON IMPORTANT DATES
March 1 Registration deadline at standard fee
March 8 Late-fee registration deadline (add $10 to fee)
March 13 Coaches meeting
March 13 Coaches contact players/team during this week
March 28 Practices can begin
Mar 29- Mar 31 Equipment Swap at Big Walnut Sports Park
April 9 Game #1 – OPENING DAY; get T-shirts
April 16 Game #2 – PHOTO DAY
April 23 Game #3 – PHOTO DAY
April 30 Game #4 – Food Drive (bring non-perishable items for donations)
May 7 Game #5 – Food Drive (bring non-perishable items for donations)
May 14 Game #6
May 21 Game #7 – (U4/U6/U8) or jamboree (U10/U14) & AWARDS
PCYSA Code of Conduct
I/we, the parent(s)/guardian(s) of the named player, also agree to the following:
1. To abide by the squad / level placement made by PCYSA coaches, and understand the balance that must be struck between
the needs of individual players, and the need to form viable, appropriately balanced and competitive squads.
2. To understand that PCYSA is a youth development program, and it is about the players: making friends, playing soccer, and
gaining skills and confidence. Making mistakes is part of the game, and important to learning.
3. To let the coaches do the coaching.
4. To respect everyone involved in the game, which means: not talking to/yelling at opposing players, referees, or coaches, and
respecting parents of the opposing team. To treat those who visit our club facility as welcome guests. In short, to model good
character and support good values for all members of the club.
5. To address concerns or problems constructively to coaches or board members, who can forward reports to the league.