Co-ed Youth Soccer League Registration
Jerseyville Parks and Recreation Department

Questions? Call (618) 498-2222

Co-ed Youth Soccer League for Kindergarten through 6th graders

All games will be at Dolan Park.
Teams are divided by grades ENTERING IN THE FALL: Kindergarten, 1st-2nd grade, 3rd-4th grade, 5th-6th grade.
Fee includes a game t-shirt (not a jersey).
Shin guards are required; cleats are recommended.
Practices will begin in August; games will run Sept-October.
Practice days/times are decided by volunteer coaches.
Games will typically be played on Tuesday/Thursday nights and Saturdays.
Games will be played at Dolan Park
League depends on parents as coaches.

Deadline: On-time registration deadline is July 2nd. Late registration deadline July 9th.
Fee: $35/individual on or before July 2nd. $45/individual July 3rd-9th

Close registrations

Registration Form

Division/Option (required)

Player First Name (required)

Player Last Name (required)

Player Birth Month (required)

Player Birth Day (required)

Player Birth Year (required)

Player Grade (in Fall) (required)

Player Gender (required)

Player Shirt Size (required)

Special Accommodations

Parent First Name (required)

Parent Last Name (required)

Parent Home Phone (required)

Parent Cell Phone (required)

Parent Email (required)

Parent Street (required)

Parent City (required)

Parent State (required)

Parent Zip (required)

Volunteer Name

Volunteer Phone

Terms and Conditions / Waivers
To continue, you must agree to all items below by checking each box.

I hereby, for the participant and myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I or my child may have against the City of Jerseyville its successors and assigns, it’s employees, agents, officers and directors for any and all injuries suffered by myself or my child at any activity sponsored by these groups. I further understand the risks and dangerous situations attendant to the activity for which my child is entering. I understand medical coverage is my responsibility.

I grant permission for pictures to be used in the City of Jerseyville publicity materials.

I understand that the City of Jerseyville reserves the right to cancel, combine or divide classes. In addition, there may be a need to change dates, times, locations, instructors, fees or program outline revisions of any activity offerings.

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Co-ed Youth Soccer League Registration Jerseyville Parks and Recreation Department

Co-ed Youth Soccer League for Kindergarten through 6th graders

Registration Form

Terms and Conditions / WaiversTo continue, you must agree to all items below by checking each box.

Co-ed Youth Soccer League Registration
Jerseyville Parks and Recreation Department

Terms and Conditions / Waivers
To continue, you must agree to all items below by checking each box.