Player Registration - Fall League

LOCATION: Field House at the FC Transylvania training Center
325 West Patent Road, Mount Kisco, NY 10549

Game dates: September 13, 20, 27, October 4, 18, 25, November 1, 8

REGISTRATION FEE: $275.00 / each player

To enroll in the program a parent/guardian shall complete the registration form and submit it online (by clicking “I AGREE”), and then mail the check (payable to TRANSYLVANIA GYM & SOCCER LLC) to the following address: TRANSYLVANIA GYM & SOCCER LLC, 11 Grace Court, Bethel, CT 06801

Age Groups:

Saturdays CO ED U7-U8, Boys & Girls born 2018, 2019 (advanced 2020), 1:00–2:00 PM
Saturdays CO ED U9-U10, Boys & Girls born 2017 and 2018, 2:15–3:15 PM
Saturdays BOYS U11-U12, Boys born 2015 & 2014, 3:30–4:30 PM
Saturdays Boys & Girls born 2012 & 2013, 5:45–6:45 PM

CONTACT INFORMATION

Contact Name

Team Role

Address

Emergency Phone

Day Phone

E-mail

Secondary Email

TEAM INFORMATION

Soccer Club Name

League Affiliation

Current Division

Team Name

Players

How did you hear about us?

By typing your name above as the parent/guardian, you agree with the terms outlined below. To enable the Town of Mt Kisco, Rippowam Cisqua School and Transylvania Gym & Soccer LLC to accept registration and permit participation in this program, I hereby release and agree to hold harmless the Town of Mt Kisco, Rippowam Cisqua School and Transylvania Gym & Soccer LLC, its officers, officials, employees and volunteers harmless from any and all liability, claims, demands, actions, or rights of action, which are related to, arise out of, or are in any way connected with participation in this activity. Should injury occur, I understand my health insurance is primary. Transylvania Gym & Soccer LLC will not be held responsible for any injury sustained by participants in our soccer program. I hereby authorize treatment and care of player by any hospital, doctor, or emergency or ambulance association.

Parent/Guardian Signature

Thank you! Your submission has been received.