Youth Soccer Application

TOP Soccer Registration

TOP Soccer Registration

This is not a guarantee of practice days. This is simply to avoid conflicts where possible.

Uniform Size*

Informed Consent:


I/We, the parent/guardian of the registrant, agree that I/We will abide by the rules of EPYSL, the state association (FYSA), and all its affiliated organizations. My/Our child wishes to participate in soccer during the season of this registration. I/We realize risks are involved in my/our child’s participation. I/We understand that the risk to my/our child includes a full range of injuries from minor to severe, and the result could be death, paralysis, or other serious permanent disability. I/We accept this risk as a condition of my/our child’s participation.

TOP Soccer Registration

Players:

  • I will encourage good sportsmanship from fellow players, coaches, officials and parents at all times.
  • I will always remember that soccer is an opportunity to learn and have fun.
  • I deserve to play in an environment that is free of drugs, tobacco and alcohol: and expect everyone to refrain from their use at all soccer training and games.
  • I will do the best I can each day, remembering that all players have talents and weaknesses the same as I do.
  • I will treat my coaches, other players and coaches, game officials, other administrators, and fans with respect at all times; regardless of race, sex, creed or abilities and I will expect to be treated accordingly.
  • I will concentrate on playing soccer, always giving my best effort.
  • I will play by the rules at all times.
  • I will at all times control my temper, resisting the temptation to retaliate.
  • My conduct during competition towards play of the game and all officials shall be in accordance with appropriate behavior, and in accordance with FIFA'S Laws of The Game, and in adherence to FYSA rules.
  • While traveling, I will conduct myself so as to be a credit to myself, and my team.
  • A player cannot be cut from a team after he/she is registered to that, unless he/she has exhibited conduct requiring dismissal, without prior consent from the BOARD OF DIRECTORS. If requested by the player and/or parent, a hearing must be held for any involuntary player release.
  • Alcohol, illegal drugs, tobacco products and unauthorized prescription drugs shall not be possessed, consumed or distributed before, during or after any game or at any time at the field and/or game complex.

Parents/Spectators:

  • I will encourage good sportsmanship by demonstrating positive support for all players, coaches, game officials, and administrators at all times.
  • I will place the emotional and physical well being of all players ahead of any personal desire to win.
  • I will support the coaches, officials, and administrators working with my child, in order to encourage a positive and enjoyable experience for all.
  • I will remember that the game is for the players, not for the adults.
  • I will ask my child to treat other players, coachers, game officials, administrators, and fans with respect.
  • I will always be positive.
  • I will always allow the coach to be the only coach, by refraining from coaching from the sidelines.
  • I will not enter into arguments with the other team's parents, players, or coaches.
  • I will not enter the field of play for any reason during the game.
  • I will not criticize game officials.
  • Alcohol, illegal drugs, tobacco products and unauthorized prescription drugs shall not be possessed, consumed or distributed before, during, after the game or at any other time at the field and/or game complex.

Failure to comply may result in the suspension of the privilege to participate in FYSA sanctioned events, for the following periods:


1st Offense: Suspension for a minimum of thirty (30) days to a maximum of (5) years.

2nd Offense: Suspension for a minimum of one (1) year to a maximum of ten (10) years.

3rd Offense: Suspension for a minimum of five (5) years to a maximum of fifty (50) years.

FYSA Communicable Disease

FYSA Communicable Disease

Release Of Liability And Assumption Of Risk Agreement

In consideration of being allowed to participate in any way in any Florida Youth Soccer Association, Inc. (“FYSA”) related events and activities I, the undersigned participant, parent, or legal guardian, acknowledge, appreciate, and agree that:


By participating in FYSA related events and activities, there are certain risks to me arising from or related to possible exposure to communicable diseases including, but not limited to, the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)”, which is responsible for the Coronavirus Disease (also known as COVID-19) and/or any mutation or variation thereof (collectively referred to as “Communicable Diseases”). I am fully aware of the hazards associated with such Communicable Diseases and knowingly and voluntarily assume full responsibility for any and all risk of personal injury or other loss that I may sustain in connection with such Communicable Diseases.


I, for myself or for my minor child(ren) or ward(s), and on behalf of my/our heirs, assigns, beneficiaries, executors, administrators, personal representatives, and next of kin, HEREBY EXPRESSLY RELEASE, HOLD HARMLESS, AND FOREVER DISCHARGE FLORIDA YOUTH SOCCER ASSOCIATION, INC. and its officers, officials, agents, representatives, employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises upon which FYSA related events and activities take place (the “Released Parties”), from any and all claims, demands, suits, causes of action, losses, and liability of any kind whatsoever, whether in law or equity, arising out of or related to any ILLNESS, INJURY, DISABILITY, DEATH, OR OTHER DAMAGES incurred due to or in connection with any Communicable Diseases, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASED PARTIES OR OTHERWISE, to the fullest extent permitted by law.


I agree that this Agreement is intended to be as broad and inclusive as is permitted by the laws of the State of Florida, and if any portion thereof is held invalid, it is agreed that the remainder shall continue in full legal force and effect.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

For Parents/Guardians Of Participant Of Minor Age (Under Age 18 At Time Of Registration)

For Parents/Guardians Of Participant Of Minor Age (Under Age 18 At Time Of Registration)

I certify that I am the legal parent/guardian with responsibility for this participant, and that I have read the foregoing Agreement and do consent and agree to his/her release of all the Released Parties as provided above. I further agree that, for myself, my heirs, assigns, beneficiaries, executors, administrators, personal representatives, and next of kin, I expressly release and agree to indemnify and hold harmless the Released Parties from any and all liability incident to the above Participant’s involvement or participation in FYSA related events or activities as provided herein, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.


Parent/Guardian Consent And Player Medical Release Form

Parent/Guardian Consent And Player Medical Release Form

EMERGENCY INFORMATION

IN AN EMERGENCY, WHEN PARENTS CANNOT BE REACHED, PLEASE CONTACT:

PLEASE COPY BOTH SIDES OF YOUR HEALTH INSURANCE CARD AND ATTACH TO THIS FORM

PARENT/GUARDIAN CONSENT AND MEDICAL RELEASE

Recognizing the possibility of injury or illness, and in consideration for FYSA and US Youth Soccer and members of US Youth Soccer accepting my son/daughter as a player in the soccer programs and activities of US Youth Soccer and its members (the "Programs"), I consent to my son/daughter participating in the programs. Further, I hereby release, discharge, and otherwise identify FYSA and US Youth Soccer, its member organizations and sponsors, their employees, associated personnel, and volunteers, including the sponsor employees, a owner of fields and facilities utilized for the Programs, against any claim by or on behalf of my player son/daughter as a result of my son's/daughter's participation in the Programs and/or being transported to or from the Programs.


My player son/daughter has received a physical examination by a licensed medical doctor and has been found physically capable of participating in the sport of soccer. I have provided written notice, which is submitted in conjunction with this release and attached release and attached hereto, setting forth any specific issue, condition, or ailment, in addition to what is specified above, that my child has or that may impact my child's participation in the Programs. I give my consent to have an athletic trainer and/or licensed medical doctor or dentist provide my son/daughter with medical assistance and/or treatment and agree to be financially responsible for the reasonable cost of any such assistance and/or treatment.