Fall 2025 Soccer Registration Form

CMH Soccer Club 2025 Fall Tryout
Thank you for choosing to tryout for CMH Soccer Club's 2025 Fall Season! We are so excited that you're expressing an interest in being a part of our soccer family.

Please ensure you are registering your child for the appropriate program and age group. If we do not have enough players in your child's age group once tryouts have completed, you will be given the option to play up.

Age groups for our competitive programs for Fall of 2025 are as follows:
- 8U- 2018-2019
- 10U- 2016-2017
- 12U- 2014-2015
- 14U- 2012-2013
- 16U- 2010-2011
- 19U- 2007-2009
One registration form per child will need to be completed. If you have an additional child to register, please submit this form for each player.

There is a $60 tryout fee due for each player trying out. Registration & Uniform fees are due after tryouts and payment plans can be utilized for registration fees. Visit our website at www.cmhsoccer.com for more information about our academy & select programs.

We accept the following payment methods:
- Cash
- Check
- CashApp
- Venmo
Payments can be made on the day of tryouts. No player will be allowed to participate if payment is not made.
PLAYER INFORMATION:
Player Name*

First NameLast Name
Player Email*
example@example.com
Birth Date*

MonthDayYear
Male/Female*
Program:
Which school does the player attend? If player attends a school not listed, please enter it in the "other" field.*

VIDALIAToombs CountyTattnallMOCOWheelerOtherOther
What grade will the player be in as of August 2025?*

12th11th10th9thOther
Graduation Year*
Referred By:
Were you referred by a Current CMH Player?*

YesNo
CMH Player's Name:
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
UNIFORM INFORMATION
Shirt
Shorts
Socks
Jacket / Hoodie / Sweater
MEDICAL INFORMATION
Physician Name

First NameLast Name
Phone Number

Area CodePhone Number
Medical conditions we should be aware of (including allergies):
Insurance Company:
Insurance Policy Number:
Proof of Age
PROVIDING PROOF OF AGE

You will need to provide a proof of age for your child prior to CMH officially adding them to our roster. This is a requirement from US Club Soccer we must adhere to. Without proof of age, players will not be eligible to play in games, tournaments, or receive player cards.

You may upload a copy of a birth certificate, valid driver's license, or a passport below or provide a copy of it on the day of tryouts to fulfill this requirement.

If you have any questions about this requirement, please contact us.
Birth Certificate Upload

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By submitting the form, I, as the parent/guardian of the registrant, I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may given under whatever conditions are necessary to preserve the life, limb, or well-being of registrant.

By submitting the form, I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the CMH SOCCER Club, it's board of directors of youth soccer org, and US CLUB Soccer, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the CMH SOCCER Club, it's board of directors of youth soccer org, and US CLUB Soccer, accepting the registrant for its soccer programs and activities (the "Programs"). I hereby release, discharge and/or otherwise indemnify the CMH SOCCER Club, it's board of directors of youth soccer org, and US CLUB Soccer,, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claimby or on behalf of the registrant as a result of the registrant's participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize.
Signature*

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CMH Soccer Club 2025 Fall Tryout

PLAYER INFORMATION:

Referred By:

PARENT/GUARDIAN INFORMATION:

UNIFORM INFORMATION

MEDICAL INFORMATION

Proof of Age