REIGN FC SELECT REGISTRATION

REIGN FC SELECT REGISTRATION

SPRING 2025 SEASON
AGE 6-8AGE 9-12
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 invite from the app Teamsnap. Reign FC uses teamsnap to communicate with its members and to send invoices. The invite and invoice will be emailed to you within 1-3 days of when we receive your registration. Invoices must be paid within 14 days of receipt. If you have any questions please contact us at admin@stclairshoresreignfc.com.
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