MERCER AREA YOUTH SOCCER ASSOCIATION
Fall 2007 In-House Registration Form
( Check out our new web sight!!: mercersoccer.org )

The Mercer Area Youth Soccer Association In-House Program is for children in Kindergarten through age 13.   We are a recreational program where the basics of soccer are encouraged in a fun environment.  If you are interested in a more competitive league, please call and ask about our Travel Team program for children born between 8-1-93 to 7-31-97.

Practice begins Thursday, August 23, 2007, 6:00PM at Mercer Co. Career Center Fields, continuing each Thursday throughout the season. There will be 7 Saturday morning games beginning on Saturday, September 8, 2007. Saturday match times are as follows:
(K-1st Grade: 9:30am)       (2nd -3rd: 10:30am)       (4th-8th: 11:30am)        Shin guards are required to participate.

Coaching help is always needed. You do not need to be experienced or even familiar with the game. New coaches will be paired with experienced ones. If you are willing to coach, please indicate below and come to the coaches meeting Thursday, August 16, 2006 at 6:00PM at the Career Center Fields.

Registration Fees: One child playing $25,
2nd child same family $20, 3rd child same family $17
Club Shirt (mandatory*): Youth sizes$15 Adult sizes $15

*We require all players to wear a red/white mesh shirt with the club crest to participate. The old red/blue mesh shirts may still be used.

Fee covers: PA West Assoc. Fee, Player insurance, Field Maintenance, Purchases,Youth referees, Portable Bathroom, Administrative costs.

REGISTRATION: BY MAIL BEFORE AUGUST 16, 2007 Make check payable to “M.A.Y.S.A.”, and mail with completed registration to:
Mara Juergens, 345 North Pitt Street, Mercer, PA 16137
Questions: Mara Juergens 724-662-0727
maraj@zoominternet.net

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Name__________________________ Sex______ Phone#__________________________________

Address________________________________________________ Birth date___________________

Grade Fall 07______ Parents Names ________________________ email ______________________

Emergency Contact:__________________________________ Phone:__________________________

Shirt Size: Youth M_____  L_____  (These run small),      Adult S_____  M _____ L_____,     do not need shirt _____

At least one parent must volunteer to help make our program a success. Please check an area in which you can provide assistance. We will gladly train you if necessary.

___ In-House Coach ___ Concession Stand ___ Field Prep.

___ Concession Stand Coordinator ____Field Prep. Coordinator

I give my child permission to participate in the activities of the Mercer Area Youth Soccer program. I understand that every precaution will be taken to provide a safe atmosphere, and I will not hold the officers, officials, coaches or players of M.A.Y.S.A. liable in the event of accident or injury. In the unlikely event that medical attention is required for my child, I authorize the calling in of medical personnel and the use of appropriate medication.

Signature ______________________________________________(Parent or Guardian)
Check #____________ Amt._____________