REIGN FC SELECT REGISTRATION

REIGN FC SELECT REGISTRATION

FALL 2025 / SPRING 2026 SEASON
AGE 6-8 FULL SEASON $200AGE 6-8 FALL HALF SEASON ONLY $125AGE 9-12 FULL SEASON $200AGE 9-12 FALL HALF SEASON ONLY $125
Coach/Family/Friend Team Request: Please list any Coach, sibling(s) or friend(s) that you would like for your child to be placed with. We will try to honor all requests. Requests are not guaranteed.
Would you be interested in coaching?*
PLAYER

First NameLast Name
PLAYER DATE OF BIRTH

MonthDayYear
Date
PLAYERS GENDER

MaleFemale
PLAYER ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SCHOOL ATTENDING blanks
What soccer experience does your child have?

never have played1-2 years2-3 years3+ years
PARENT/GUARDIAN NAME

First NameLast Name
PARENT/GUARDIAN CELL PHONE NUMBER
Please enter a valid phone number.
PARENT/GUARDIAN EMAIL ADDRESS
example@example.com
PARENT/GUARDIAN #2 NAME

First NameLast Name
PARENT/GUARDIAN #2 CELL PHONE NUMBER
Please enter a valid phone number.
PARENT/GUARDIAN #2 EMAIL ADDRESS
example@example.com
PRIMARY EMERGENCY CONTACT

First NameLast Name
RELATIONSHIP TO PLAYER blanks
PRIMARY EMERGENCY CONTACT CELL PHONE NUMBER
Please enter a valid phone number.
Describe any allergies that we need to be made aware of.
Describe any medical conditions that we need to be made aware of.
UNIFORM SIZE

youth smallyouth mediumyouth largeadult smalladult mediumadult large
Once you have submitted your registration form, you will receive an informational email with program info, payment info & what to expect during the next few months within 1-3 days.
Should be Empty: