RECREATION SOCCER REGISTRATION
RECREATION SOCCER FEES
ONE CHILD PER FORM, PLEASE
Boys & Girls Birth Dates 8/1/95 - 7/31/04
Note: Discounts for 2nd, 3rd child rates apply ONLY when
ALL the children are registered at the SAME TIME.
FALL 2009 ONLY
Player Name:___________________________________
(First)
(Last)
Address:_______________________________________
_________________________________ Zip:__________
**SSN: XXX-
-
Male / Female BP resident? Y/N
** ALL TRAVEL REGISTRATION MUST
INCLUDE THE LAST 6 DIGITS OF PLAYER'S SSN
Phone
(Home)______________(Work/Cell)_________________
Age:
Birth Date:
.
Circle ONE shirt size. Youth: YS YM YL or Adult: AS AM AL
Is this your first time registering with BP Soccer? Yes / No
Will Help:
Flights: Coach___Assist ___ Parent’s name: ___________
Travel: Coach___Assist___ Parent’s name: ____________
Would you like us to contact you about sponsoring a team?
Yes / No Best number to call: ______________________
Payment From:__________________________________
(First)
(Last)
I,_____________________________________ understand all
(print - parent/guardian name)
rules, regulations and
requirements for the Soccer program for which I have registered. I
agree to hold the Municipality of Bethel Park, the Bethel Park
School District, the Bethel Park Department of Recreation and
Leisure Services and any employee thereof harmless and
blameless as to and regarding any liability, claims, costs, damages,
or any items whatsoever resulting from or relating to any accident
or injury which I, or those under my supervision or care, might
receive while participating in the Bethel Park Recreation Soccer
Program.
.
After June 4
$50 (non-res $55)
$50 (non-res $55)
$50 (non-res $55)
After June 4
$65 (non-res $70)
$65 (non-res $70)
$65 (non-res $70)
ABSOLUTELY NO REFUNDS OR CREDITS
WILL BE ISSUED FOR SPRING SESSION
UNDER THIS FEE SCHEDULE.
Flight 1
Flight 2
Flight 3
Flight 4
Flight 5
Travel
GIRLS
8/1/03 to 7/31/04
8/1/02 to 7/31/03
8/1/01 to 7/31/02
NA
7/31/01 and before
7/31/00 and before
HOW TO REGISTER:
REGISTRATION DEADLINES and other conditions:
FOR TRAVEL PLAYERS: Thursday, June 11, 2009
FOR FLIGHT PLAYERS: Thursday, July 30, 2009
I am registering my child for (please check 2 lines):
NO REGISTRATIONS WILL BE TAKEN
AFTER THESE DEADLINES
Only exception – new residents to BP within the past 60 days
Please review the code of conduct at bpsoccer.org
FALL 2009 & SPRING 2010 ____
Flight only ___ Travel only ___ Both (pay Travel fee) ___
Amount Enclosed $__________ Check #_____ Cash____
BOYS
8/1/03 to 7/31/04
8/1/02 to 7/31/03
8/1/01 to 7/31/02
8/1/99 to 7/31/01
7/31/99 and before
7/31/00 and before
1.) Wednesday - May 20, 2009, 7:00 - 8:30 PM in
Council Chambers, Bethel Park Municipal Building.
Soccer representatives will be available.
2.) By mail. Please use this Soccer Registration Form.
3.) At the Recreation Office, BP Municipal Building.
4.) At the Bethel Park Community Center, front desk.
(parent or guardian)
NOTE: U-10 Travel MUST also play Flight.
.
You may choose to register for
FALL 2009 & SPRING 2010 at this time. Fees will be:
FLIGHT:
Early Bird Fee
After June 4
1st child:
$78 (non-res $88)
$87 (non-res $97)
2nd child:
$72 (non-res $82)
$87 (non-res $97)
3rd child:
$68 (non-res $78)
$87 (non-res $97)
TRAVEL:
Early Bird Fee
After June 4
1st child:
$110 (non-res $120) $119 (non-res $129)
2nd child:
$104 (non-res $114) $119 (non-res $129)
3rd child:
$104 (non-res $114) $119 (non-res $129)
Signature:___________________________ Date:_______
FALL 2009 Only
Early Bird Fee
$44 (non-res $49)
$41 (non-res $46)
$39 (non-res $44)
Early Bird Fee
$60 (non-res $65)
$57 (non-res $62)
$57 (non-res $62)
ALTERNATIVE FEE PLAN
E-mail address: _________________________________
Grade:
FLIGHT:
1st child:
2nd child:
3rd child:
TRAVEL:
1st child:
2nd child:
3rd child:
ALL REFUNDS WILL BE LESS $15.00 PER CHILD.
NO REFUNDS AFTER SECOND WEEK OF PRACTICE.
Travel players only: Additional $25.00 uniform fee will be collected
by the head coach.
.
Make check payable to: "Bethel Park Recreation"
Mail or deliver to:
5100 West Library Avenue
Bethel Park, PA 15102
OFFICE USE ONLY
Activity code # 3157.
This child $______
1st
2nd 3rd
Amount Paid $_________ Cash $______ Check #___________
Date Received in Recreation Office _____________
Travel games may start August 23, 2009.
Flights will begin August 29, 2009.
Games will be played for approximately 8 weeks.
(Coach will call 1 to 2 weeks before first game)
For additional information from the
Bethel Park Soccer Association:
www.bpsoccer.org