Online Acceptance Packet

Before registering, please read the following documents:

Concussion Policy
Player’s Club Dues Financial Commitment
Parental Expectations and Guidelines
Release of Liability for Minor Participants
Photo Release Agreement

Team

Birth Year of the Team

Division

TSSA Division Level 2017 to 2013 are Jr 2012 to 2011 ask coach

Player Legal First Name

Player Legal Last Name

Player's Birth Date

YYYY

Player's Gender

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Cell Phone

(###)

###

####

Relationship to Player

Parent/Guardian Gender

2nd Parent/Guardian First Name

2nd Parent/Guardian Last Name

2nd Parent/Guardian Cell Phone

(###)

###

####

Relationship to Player

2nd Parent/Guardian Gender

Street Address

City

State

Zip Code

Resident

Is the player a Bartlett Resident?

Contact Email Address

Concussion Statement

I have read, understood, consent to and will abide by the Student-athlete & Parent/Legal Guardian Concussion Statement..

Financial Commitment

I have read, understood, consent to and will abide by the Player’s Club Dues Financial Commitment.

Parental Expectations and Guidelines

I have read, understood, consent to and will abide by the Parental Expectations and Guidelines.

Release of Liability

I have read, understood and will abide by the Release of Liability for Minor Participants statement.

Photo Release

I have read, understood, consent to and will abide by the Minor Participants Photo Release Agreement.

Venmo

The exact amount MUST be paid to Bartlett Soccer Club. If you choose to “protect” your payment (move the slider), Venmo will divert part of your payment leaving you with a balance owed to BYSA.

I have read, understood, consent to and will abide by the Venmo exact payment agreement.