2023 SPX Soccer Registration

Fall 2023 Parish Recreational Co-Ed Soccer Registration
The league is open to any St. Pius X School students or parishioner in grades K-8. Please complete 1 form for each student you are registering
Child Name:*

First NameLast Name
Age:*
Grade:*
Skill Level:*

NoviceIntermediateAdvanced
Parent/Guardian 1 Name:*

First NameLast Name
Parent/Guardian 1 Mobile Number:*
Phone Number
Parent/Guardian 1 Email:*
Email Address
I would like to support our Soccer Program and Volunteer as a :*

K-1 CoachPee Wee Coach (2-3 grade)Biddy Team Coach (4-5 grade)Junior Team Coach (6-8 grade)Soccer OfficialN/A
*please note any volunteers over the age of 18 must participate in our safe environment training
Parent/Guardian 2 Name:

First NameLast Name
Parent/Guardian 2 Mobile Number:
Phone Number
Parent/Guardian 2 Email:
Email Address
I would like to support our Soccer Program and Volunteer as a :

K-1 CoachPee Wee Coach (2-3 grade)Biddy Team Coach (4-5 grade)Junior Team Coach (6-8 grade)Soccer OfficialN/A
*please note any volunteers over the age of 18 must participate in our safe environment training
Soccer Program Siblings:
Please list any other siblings that will also be participating in the soccer league (a separate registration is required for each child participating in the league)
Let us know what t-shirt size your participant needs
T-Shirt size for

K-1 league Participants
T-Shirt size for

Pee Wee-Junior Participants
Youth SmallYouth MediumYouth Large
Youth SmallYouth MediumAdult SmallAdult MediumAdult LargeAdult XL
Fee: $25 per child

Square is a secure app that allows St. Pius X to take payments online. Please enter your information below. If you would still prefer to pay with cash or check, made payable to "St. Pius X Church", please note that below and then drop it off, during normal business hours or mail it to the parish office. (23 Crumitie Rd, Loudonville, NY 12211)
I plan to pay the $25 fee for child via:*

CashCheck made out to St. Pius X ChurchPay by Card

Payment via cash or check is due by the first game of the season (September 16th, 2023). For questions, please contact Rena Epting at renaepting@gmail.com
Parent/Guardian Signature*

Clear
Should be Empty:

Fall 2023 Parish Recreational Co-Ed Soccer Registration

Let us know what t-shirt size your participant needs

Fee: $25 per child

Credit Card