Clone of Soccer Registration Form

ICNE Youth Fall Soccer Registration
ICNE Youth Soccer Program is for ages 4 - 16

Runs every Sunday from Sept 13th - Oct 25th

Age groups 4-6 plays 2:30pm - 3:30pm

Age groups 7-16 plays 2:30pm - 4:00pm
You will need to fill out one registration per child. At the end of the regsitration form you will be taken to our payment portal. Once you have completed the regsitration and payment you can start a new registration form for the next child.

Your child must be 4 years old by August 31st, 2026 to register.
CHILD INFORMATION:
Child Name

First NameLast Name
Male/Female
Child's Date of Birth

MonthDayYear
Child's Age
The next section you will enter "1" in the age group of the child you are registering. ONLY COMPLETE 1 CHILD PER REGISTRATION FORM.
Co-Ed 4-5 Age Group
Co-Ed 6 Age Group
Boys 7-9 Age Group
Girls 7-9 Age Group
Boys 10-11 Age Group
Girls 10-16 Age Group
Boys 10-16 Age Group
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name 1

First NameLast Name
Phone Number 1

Area CodePhone Number
Parent/Guardian 1 E-mail
example@example.com
Parent/Guardian Name 2

First NameLast Name
Phone Number 2

Area CodePhone Number
Parent/Guardian 2 E-mail
example@example.com
MEDICAL INFORMATION
Allergies / Medical Concerns
Parents with multiple children enrolled will be charged full price ($125.00) for the first registered child and receive a $25 discount for each child thereafter.

Please select one option below. If it is your first or only child, please select the First Child option. If you are registering your second or more child(ren) please select the Additional Child option.
REGISTRATION PAYMENT

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Soccer Registration - First Child$125.00

Soccer Registration - Additional Child$100.00

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Total $0.00

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ICNE Youth Fall Soccer Registration

CHILD INFORMATION:

PARENT/GUARDIAN INFORMATION:

MEDICAL INFORMATION

REGISTRATION PAYMENT

My Products*

My Products