TSC Club Registration Form

Taughannock Soccer Club

REGISTRATION
Player Information

Please register one player at a time.
Player Name *

First Name Last Name
Birthdate *

/ Month / Day Year
Gender *

M F
Player Cell Phone Number (if available)

- Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	2 letter state abbreviation ONLY
Zip Code	Country

State *
2 Letter abreviation only
Email *
example@example.com
Select Program

Please select the program and the age group team your player is hoping to play on. DOUBLE ROSTERING: If your player will be playing on 2 teams in the same season, they will need to appear on each team's roster. Please select that additional option in the items below. This only applies to travel teams.

Select a Program *

Fall Travel Soccer $ 140.00

Spring Travel Soccer $ 140.00

Fall Outdoor Rec Soccer $ 35.00

Winter Indoor Rec Soccer $ 35.00

U4-U12 Spring Outdoor Rec Soccer $ 35.00

Double Rostering $ 67.50

Summer Rec Games $ 40.00

Enter coupon

Total $ 0.00

SCHOLARSHIPS and SIBLINGS DISCOUNTS: The Club offers scholarships and sibling discounts for all programs. If you are interested in applying for either of these opportunities, Please contact us here to get more information.
Select Age Group

For travel teams ONLY. If you are not sure of which age group to select for your player, see link below for the US soccer age matrix. Rec soccer age groups are determined at the first session.
Select an Age Group *
Note Fall League has ONLY U10 & U13 age groups. Spring league has U8 Co-ed, U10, U12, U14, U16 (when numbers of players allow) and U19.
To determine your player's soccer age group, review the Broome County Soccer Association Approved Age Matrix. If you need more clarification on age groups, please contact the Club here.
Soccer Camps
Note: Challenger Camp registration happens directly through their website here.
Parent/Guardian Information
Name *

First Name Last Name
Home Number

- Area Code Phone Number
Cell Number *

- Area Code Phone Number
E-mail *
Alternate Email
example@example.com

Address (if different from the player's) *

Street Address
Street Address Line 2
City	2 letter state abbreviation ONLY
Postal / Zip Code	Country

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by the Taughannock Soccer Club (TSC) during the selected season. In exchange for the acceptance of said child’s enrollment in the Club programs, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless the Taughannock Soccer Club and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against the Taughannock Soccer Club, including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including soccer. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Must select to continue *

I Agree
TSC would like the ability to include team photos for the website, social media promotion, and advertising of our youth soccer programs in our community.

We ask that you, the parent or legal guardian of the above registered player, grant Taughannock Soccer Club permission to use any team soccer photographs for legal use, including but not limited to: publicity, copyright purposes, advertising, and web content. Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
Photography Consent

I Agree
Confirmation

BY AGREEING ABOVE AND SUBMITTING THIS FORM, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT IS EQUIVALENT TO AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Don't forget! download and complete the TSC medical release form and return to your coach on the first day of practice.
Should be Empty:

Taughannock Soccer Club

Player Information

Select Program

Select Age Group