Fall 2021 Soccer Registration

Ashland Optimist Soccer

Spring 2023 Registration Form
Spring 2023 Season Information

Pre-K/Kindergarten games will be played in Ashland at the Optimist Complex, on Saturdays starting on April 8.

1st-8th grade games will be played in Jefferson City, at the soccer fields off of Highway 63, on Saturdays starting on March 18. (Some 6th-8th grade games may be played in towns in the mid-Missouri area, Moberly, Columbia, Fulton and Kirksville.).
Number of Kids to register*

Player 1 Registration
PLAYER INFORMATION:
Player's Name*

First NameLast Name
2022-2023 Grade*
Male/Female*
Birth Date

MonthDayYear
My child will need a new shirt for the upcoming season (We will be using the same shirts from the Fall season).
Shirt Size*
Willing to Coach or Assist?
Coach's Name:
I will need a new shirt for the upcoming season (We will be using the same coaches shirts from the Fall season).
Coach's Shirt Size
Coach or other requests

Player 2 Registration
PLAYER INFORMATION:
Player's Name*

First NameLast Name
2022-2023 Grade*
Male/Female*
Birth Date

MonthDayYear
My child will need a new shirt for the upcoming season (We will be using the same shirts from the Fall season).
Shirt Size*
Willing to Coach or Assist?
Coach's Name:
Coaches Name
I will need a new shirt for the upcoming season (We will be using the same coaches shirts from the Fall season).
Coach's Shirt Size
Coach or other requests

Player 3 Registration
PLAYER INFORMATION:
Player's Name*

First NameLast Name
2022-2023 Grade*
Male/Female*
Birth Date*

MonthDayYear
My child will need a new shirt for the upcoming season (We will be using the same shirts from the Fall season).
Shirt Size*
Willing to Coach or Assist?
Coach's Name:
Coaches Name
I will need a new shirt for the upcoming season (We will be using the same coaches shirts from the Fall season).
Coach's Shirt Size
Coach or other requests

Player 4 Registration
PLAYER INFORMATION:
Player's Name*

First NameLast Name
2022-2023 Grade*
Male/Female*
Birth Date*

MonthDayYear
My child will need a new shirt for the upcoming season (We will be using the same shirts from the Fall season).
Shirt Size*
Willing to Coach or Assist?
Coach's Name:
Coaches Name
I will need a new shirt for the upcoming season (We will be using the same coaches shirts from the Fall season).
Coach's Shirt Size
Coach or other requests

Please check soccer registration box, and use the dropdown to select number of players registering.*

Soccer Registration - Pre-K/Kindergarten $ Free

Number of players registering

Soccer Registration - First Grade to Fifth Grade $ Free

Number of players registering

Soccer Registration - Sixth Grade to Eighth Grade $ Free

Quantity

Enter coupon

Total $0.00

I acknowledge that soccer is a sport that requires physical exertion and has some risk of injury. I have no concerns about my child’s ability to handle the level of activity necessary to play soccer. The child or children named above has/have my permission to participate in the Optimist soccer program.

Consent to Treat

I hereby give my consent to the above applicant treated by a physician or surgeon in case of sudden illness or injury while participating in the above event.

By clicking submit I have read and understood the foregoing registration form, liability release form, parental consent and consent to treat, and agree to all their terms and conditions.
Once you click "Submit Form" below, you will be taken to a secure PayPal site to complete your payment. Ashland Optimist Soccer is a PayPal verified merchant. You may pay by credit card or PayPal account.
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Ashland Optimist Soccer