Form

Player First Name:*

Player Last Name*

Address:*

Development:

City:*

State:

Zip code:*

Telephone:*

E-mail:*

Date of Birth (mm/dd/yyyy)*

Gender*

Male Female

How did you hear of CAA?*

Request:

Volenteer

Coach Field Prep Pictures Team Parent

Father's Name:

Father's Cell Phone:

Mother's Name:

Mother's Cell Phone:

UNIFORMS: All U8 teams and above will now be required to wear a CAA purchased uniform which consists of two (2) jerseys, one (1) pair of shorts and one (1) pair of socks. The cost for this is $30.00 and must be purchased at the time of registration unless you are using one from a previous year. All U6 and U5 teams will continue to use the CAA shirts (blue/gold) and can be purchased for $18.00 or can be worn from a previous year. In addition to the CAA shirt(s) (blue/gold) each player must wear navy blue shorts and navy blue socks. Please select the appropriate uniform choice unless you already have the uniform from a previous year.

U6 or U5 Shirt Required? ($18)

Yes No

Shirt Size U6 & U5 ONLY

U8 and up Uniform Required? ($30)

Yes No

Jersey Size

Short Size

*Sock size will be determined based on your chosen shirt size

To Pay by Credit/Debit Card or Paypal

LATE Registration 1st Child (Registration Fee and Fundraiser) $80.00 USD
LATE Registration 2nd Child (Registration Fee and Fundraiser) $70.00 USD
LATE Registration 3rd Child (Registration Fee ONLY) $44.00 USD
U8 or above Mandatory Uniform $30.00 USD
U6/U5 Shirt(s) $18.00 USD
LATE HEAD COACH Discount Registration 1st Child $70.00 USD
LATE HEAD COACH Discount Registration 2nd Child $60.00 USD
LATE HEAD COACH Discount Registration 3rd Child $34.00 USD

Total: $0.00 USD

Liability/Medical Release: I hereby give my permission for my child to participate in the CAA soccer program. I certify that he/she is physically fit and that I will not hold CAA and/or representatives liable for any accidents and/or injuries incurred during the course of the season. I give permission to have my child transported and treated at any medical facility if injury is sustained or other medical services are required. I also understand that I will be responsible for payment of all such treatment.

Please check if permission is granted:*

Yes No

We are offering an Early Bird Discount ($5 off) through July 24th. Registration will be closed on August 8th. Any registration received after that date will be assessed a $10 processing fee, with no guarantee of placement. No Registrations will be accepted after August 20th. There will be a $10 discount given to Head Coaches!

PAYMENT INFORMATION (Please Choose Payment Option)

Please check all that apply:

Early Bird Discount ($5 off if paid prior to July 24, 2010) Head Coach Discount ($10 off each team they coach) Late Fee ($10 additional if registration is received after August 8th

PAYMENT By Check

Registration 1st Child ($70- Reg Fee & fundraiser) Registration 2nd Child ($60- Reg Fee & Fundraiser) Registration 3rd Child ($34-Reg Fee Only) U8 or above mandatory uniform ($30) T-Shirt ($18)

Checks must be received within 14 days of registration. Please mail checks to: CAA Soccer, PO Box 1157, Bear, DE 19701