2025 Football Registration

1
New or Returning* This field is required.
Please Select
Please Select
New Player
Returning Player
2
Player Name* This field is required.Football Players Full Name
First Name
Last Name
3
Players Date of Birth* This field is required.
Date
Month
Day
Year
4
Jersey # you would like**Please note this is not guaranteed.
5
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Parent/Guardian Name* This field is required.Full Name
First Name
Last Name
7
Parent/Guardian Email* This field is required.
example@example.com
8
Parent/Guardian Phone Number* This field is required.
Please enter a valid phone number.
9
Emergency Contact* This field is required.For if parent cannot be reached
First Name
Last Name
10
Emergency Contact Email* This field is required.
example@example.com
11
Emergency Contact Phone Number* This field is required.
Please enter a valid phone number.
12
Medical* This field is required.Medical Problems, Allergies, Medications Player is taking or takes on a regular basis.
Huge
Large
Normal
Small
Ok
Ok
13
DO YOU WISH TO VOLUNTEER?* This field is required.
Coach
Team Parent
Concessions
Set Up
Scoreboard
Announcing
No Thank you
14
T-shirt Size* This field is required.
Please Select
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
15
Please upload a current photo of your player please.* This field is required.This will be used for their player card. Please no other people in the photo, just a headshot. Thank you!
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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16
I affirm that the above player has been informed of the League Rules and has agreed to participate according to all rules and regulations of PHYFCA I understand that the game of football may have an element of risk and, as parent/legal guardian of the Player, take full responsibility for his/her actions and physical condition. I release and agree to indemnify and hold harmless the PHYFCA and its representatives and agents from all claims or liability for damages and/or injuries, to the Player or any third parties, incurred in connection with any PHYFCA sporting event or activity associated with this league and the Player’s participation.* This field is required.
Please Select
Please Select
I agree
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