2025 EPAA Fall Travel Soccer Player Registration

IMPORTANT DETAILS - PLEASE READ BEFORE COMPLETING THE FORM

All players must register even if you do not owe any registration fees.
A seperate registration must be completed for each player you are registering.
Refunds only provided in the case of medical issues or if there are insufficient players to form a team in the chosen age bracket. Please be sure that the player can participate and has no scheduling issues before signing up.

NO REFUNDS WILL BE GIVEN IF YOUR CHILD "SIGNS UP BY MISTAKE"

Uniform cost is not included in the registration. You will be contacted regarding uniform purchase once accepted.
In order to be compliant with US Club carding regulations a recent head and shoulders photo and photograph of birth certificate or passport photo page must be provided. Any delay in receiving these will delay us obtaining a player card from US Club soccer. This card is required for participation in any games.
Please understand a NEW ID Card will be REQUIRED, your child has aged since his/her last ID Card. Please submit a NEW / UPDATED HEAD SHOT of your child (Just the head and shoulders NOT the entire body or images with siblings or family photo)
If you have any questions please reach out to edgewaterparksoccer@gmail.com or epaapresident@gmail.com

This form is encrypted and secure in order to protect your personal information.

** **Please read this BEFORE you proceed with Registration** **

We have had several registrants indicating issues with processing. Please fill EVERY line including Uniform Size and Preferred Uniform Number. ALL Fields MUST be filled in to complete the process. If you continue to have issues, contact your coach to make arrangements for payment by check or money order. The 2025 Fall Season Travel Registration Process is in progress.

Thank you for registering with the Edgewater Park Athletic Association.

Player Information

Player Name*

First NameMiddle NameFull Last Name

Birth Date*

MonthDayYear

Gender*

FemaleMale

Player Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Player Phone Number

Area CodePhone Number

The Edgewater Park Athletic Association will be renewing the Uniform Kit. The uniforms are at an additional cost. ALL New Players MUST order the uniform to play in the 2025/2026 Travel Soccer Season.

School Attended

Player Head and Shoulders Photo [ Notice this says Head & Shoulders; NOT Full Body, NOT Multiple People in Pix ]*

Please submit in jpg format

Photograph of Player Birth Certificate*

Can be jpg or pdf format

Parent/Guardian Information

Parent/Guardian Name*

First NameLast Name

Parent/Guardian Cell Number*

Area CodePhone Number

Parent/Guardian E-mail*

example@example.com

Address (if different from the player's)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Emergency Contact*

First NameLast Name

Emergency Contact Phone Number*

Area CodePhone Number

Select Registration - ONE team selection per Player required*

Girls Travel Soccer

Girls - Dragons 2014Girls U12 Soccer Team

$250

Boys Travel Soccer

Boys - United 2012Boys U14 Soccer Team

$225

Boys - Warriors 2015Boys U10 Soccer Team

$210

Boys - Wizards 2010Boys U16 Soccer Team

$260

Enter coupon

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Payment Notes (if needed)

Notes For Club Use Only

EPAA Registration Conditions
I hereby give approval for the participation of my child in any and all affiliated associations or league activities and I assume all risk and hazards incident to such participation including transportation to and from said activities.

I waive, release, absolve, indemnify, and agree to hold harmless the EPAA and affiliated associations, leagues, the organizers, supervisors, officers, directors, board members, participants, and persons or parents supervising or transporting participants to or from such activities, from any claims arising out of injury to my child.

I authorize and grant permission to the EPAA for the use of the photograph(s) or electronic media images in any presentation of any kind whatsoever. This will include various Social Media platforms. I understand that I may reoke this authorization at anytime by notifying the Board of EPAA in writing. The revocation will not affect any actions taken before receipt of this written notification. Images will be stored in a secure location and only authorized staff will have access to them. They will be kept as long as they are relevent and after that time will be destroyed or archived.

I understand that a player who registers with a league is bound to that league for the entire seasonal year unless a transfer is approved for extenuating circumstances.

My family agrees to abide by the EPAA’s Code of Conduct Policy and Anti Bullying / Harassment Policy.

As parent and/or guardian of the player noted above, a minor, I hereby authorize the treatment by a qualified and licensed medical doctor in the event of a medical emergency which, in the opinion of the attending physician, may endanger my child’s life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me.

I hereby grant this release between the dates of August 1st, 2025 and January 31st, 2026.

This registration and medical release form is completed and signed of my own free will for the sole purpose of:

1. authorizing participation in the EPAA soccer program and

2. affiliated league participation and

3. authorizing medical treatment under emergency circumstances in my absence.

EMAIL ADDRESSES WILL BE ADDED TO THE EPAA EMAIL LIST.
THERE ARE NO GUARANTEES ABOUT TEAM PLACEMENT OR PRACTICE SCHEDULES.

Confirmation

BY AGREEING ABOVE AND SUBMITTING THIS FORM, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT IS EQUIVALENT TO AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

I agree to the above Registration Conditions*

I Agree

EPAA 2025 Fall Travel Soccer Player Registration

Payment Methods