HER League Winter Registration
Register your player for the winter season—complete one form per player and provide the required parent/guardian details to confirm your submission.
Player Information
Player full name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Birth year
*
Please Select
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
Current school
Grade
Home neighborhood/Chicago community area
Player shirt size
Please Select
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Has the player participated in HER League before?
Yes
No
Current soccer experience
New to soccer
Recreational
Travel/Club
School team
Other
Current team or club (if applicable)
Preferred playing position
Goalkeeper
Defender
Midfielder
Forward
No preference
Parent or Guardian Information
HER League Community Network
HER League asks this only to better understand the skills and experience within our community and help build a stronger network for our families and players. General answers are welcome.
Would you be open to connecting with other HER League families or supporting future community opportunities related to your field?
Yes
No
Parent/guardian full name
*
First Name
Last Name
Relationship to player
*
Email address
*
example@example.com
Primary phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary parent/guardian name
First Name
Last Name
Secondary phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred language for communication
English
Spanish
Both
Winter Availability and Interest
Winter Location
Quest Gym
Would you like information about Chicago City competitive soccer opportunities?
Yes
No
Emergency and Medical Information
Emergency contact full name
*
First Name
Last Name
Emergency contact relationship
*
Emergency contact phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Allergies, medical conditions, medications, or accommodations coaches should know
Health insurance provider (optional)
Physician name and phone number (optional)
Permissions and Acknowledgements
I confirm that the information provided is accurate and I am authorized to register this player.
*
Yes
No
I acknowledge that soccer involves physical activity and risk of injury. I permit my player to participate and agree to inform staff of any relevant medical limitations.
*
Yes
No
In case of emergency, I authorize HER League staff to seek appropriate emergency medical care if I cannot be reached.
*
Yes
No
We agree to demonstrate respect toward players, coaches, officials, families, and facilities while participating in HER League.
*
Yes
No
Electronic parent/guardian signature
*
Date signed
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
HER League photographs and records program activities. Photos and videos that may include your player may be used for HER League marketing, social media, website content, fundraising materials, and community reporting. By submitting this registration, you acknowledge and agree to this use.
I have read and acknowledge the HER League Photo and Media Notice.
*
Yes
No
Final Notes
Anything else we should know?
How did you hear about HER League?
Current family
Friend or family
School
Park program
Chicago City SC
Instagram/social media
Community event
Other
What do you do for work?
*
Enter your occupation or area of work
Submit Registration
Submit Registration
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