Town of Orleans Youth Commission Summer Soccer Registration 2026

Town of Orleans Youth Commission Summer Soccer Registration 2026
We are currently holding sign ups for Summer Soccer.

Registration will close on June 26 at 8:00 PM. No registrations will be accepted after this time.
Child Name

First NameLast Name
Current Grade
Date of Birth

MonthDayYear
Age
Age Division
Gender
Jersey Size
Parent's Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Text?
Alternate Number
Format: (000) 000-0000.
E-mail
example@example.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Medical Conditions or Allergies
I give permission for my son/daughter to receieve emergency medical treatment administered by coaches or Youth Commission Volunteers. In an emergency, if I, the parent or guardian can't be reached, please contact:
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Parent/Guardian Signature (by filling out this field you are signing and agreeing to the above

First NameLast Name
I agree to return all equipment/uniforms issued to my child. I understand that I am responsible for repairing or replacing the equipment/uniforms if it is damaged, lost or stolen while in my possession. I understand uniforms are the property of TOYC.
Parent/Guardian Signature (by filling out this field you are signing and agreeing to the above

First NameLast Name
I hereby grant TOYC permission to take and use photographs of my child in any and all of its publications and in any and all other media.
Parent/Guardian Signature (by filling out this field you are signing and agreeing to the above

First NameLast Name
Teams exist with the contingency that a parent or volunteer is willing to accept the coaching challenge.
Additional information / special request
I am willing to help:
Should be Empty: