Online Registration Form

Registering for:    Micro Program    Youth Soccer    Adult Soccer

Family Information

Parent/Guardian Name:
Spouse/Partner: New Member Returning Member
Street Address: City: ZipCode:
Home Phone: Cell Phone:
Parent/Guardian's Place of Employment:

Email: Email is our primary source of communication at Holt/Triangle United.

Player Information

Player Full Name:
Age: Date of Birth: Female Male
Groups determined by player's age on 7/31/11.
NOTE: For Spring 2012 season, age groupings have NOT changed - same as Fall 2011!

Shirt Size: Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult ExtraLarge Adult ExtraExtraLarge    Sock Size: Youth shoe 12.5 - 4 Junior shoe 4.5 - 7.5 Adult 8 - 12.5
IMPORTANT: Click for Sizing Info Order sizes CAREFULLY - $15 for wrong-sized shirt, $5 for socks

What school does your child attend?

Other Information

Want to coach? YES Head coach or asst, specify ages:
NOTE: We have a new coaching education program - we can help orient you! Coaching is rewarding and exciting and we have lots of support for the first-time coach. We count on parent coaches for many of our teams. In the event we do not have a coach for your team, we will beg for parent volunteers. In the rare and extreme case where nobody steps up, the team will be disbanded and monies refunded. We hope you volunteer with us!

How did you hear about Holt / Triangle United Soccer? check all that apply

Additional Comments:

Waiver

"I waive, release and forever discharge, and hold harmless Holt Athletic Association and Triangle United Soccer Association, their Coaches, Officials, employees, volunteers and agents from any liability, claims, demands, actions, and causes of actions whatsoever arising out of or related to any loss, personal injury, or property damage that may be sustained during participation in any sport program of Holt Athletic Association and/or Triangle United Soccer Association. I further understand that my registration is NOT complete until I submit payment and no guarantee is made that my child will be placed on a team without payment."

<---Check box to agree to Waiver

By pressing the Submit Registration button below, you hereby agree to the Waiver as stated above. Please note your child is NOT registered until payment is received.