Remember Me
An additional U10 Boys Travel Soccer tryout will be held this Thursday, July 8th at the Tarkill Clubhouse (Yellin Middle School Field). It will run from 5PM - 6PM. Bring plenty of water along with shinguards and cleats.
856-784-6567
PO BOX 43
Stratford, NJ 08084
Email-
tarkillsoccer@hotmail.com
Fall 2010 Registration
Fall 2010 bond Form
Online Registration*
Online registration is fast, convenient and saves you time. There is a $6 processing fee to use online registration. Please see form below. If you prefer not to register online please print out the Registration and Bond forms from the links above. These forms can be mailed to the club or brought to the clubhouse on walk-in registration days.
Tarkill Soccer Club Fall Registration 2010
PLAYER INFORMATION
Last Name
First Name
Gender
D.O.B.
Grade (as of Sept. 2010)
Shirt Size
Is your child interested in travel soccer?
1.
Select
Male
Female
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
YYYY
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
Select
PreK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
Select
Y/S
Y/M
Y/L
A/S
A/M
A/L
A/XL
A/XXL
Select
Yes
No
2.
Select
Male
Female
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
YYYY
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
Select
PreK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
Select
Y/S
Y/M
Y/L
A/S
A/M
A/L
A/XL
A/XXL
Select
Yes
No
3.
Select
Male
Female
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
YYYY
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
Select
PreK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
Select
Y/S
Y/M
Y/L
A/S
A/M
A/L
A/XL
A/XXL
Select
Yes
No
4.
Select
Male
Female
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
YYYY
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
Select
PreK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
Select
Y/S
Y/M
Y/L
A/S
A/M
A/L
A/XL
A/XXL
Select
Yes
No
5.
Select
Male
Female
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
YYYY
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
Select
PreK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
Select
Y/S
Y/M
Y/L
A/S
A/M
A/L
A/XL
A/XXL
Select
Yes
No
CONTACT INFORMATION
Contact Phone Number (including area code)
Mailing Address
City
State
Zip
Email Address:
Mother’s Name:
Father’s Name:
Name Bond check is to be made out to upon completion of bond
REGISTRATION FEES
1.
Family Membership Fee $ 35.00
2.
Player Fee
Number of children born after 8/1/03(U5 and clinic)
0
1
2
3
4
5
6
x $25.00 = $
Number of children born before 8/1/03(rec and travel)
0
1
2
3
4
5
6
x $40.00 = $
3.
Bond Fee $50.00
4.
Fundraising Fee $30.00
5.
Paypal Fee $6.00
Total Due: Sum of 1, 2, 3, 4 & 5.
$
$221.00 max. for on-time family registration fee.
RELEASE
Registration fees are non-refundable. The Tarkill Board of Directors reserves the right to grant a refund in extreme cases of illness, injury, or hardship. A written request must be submitted for review by the board before any action will be considered.
All injuries incurred while participating in a club activity must be reported to Tarkill Soccer Club immediately. Players requiring medical attention will be permitted to resume participation only upon presentation of a signed release from a physician.
Medical Insurance is provided through affiliation with NJYSA. The coverage is secondary to your personal insurance. Tarkill Soccer club is not responsible for any deductible, co-payment, or other costs not covered by any insurance.
You are registering your children with the understanding that Tarkill Soccer club will provide your children the opportunity to play soccer with our club and that there is no guarantee your child will be selected to a travel team.
I authorize Tarkill soccer club to display my children's/ ward's pictures on Takill.com. The only pictures that will be displayed will be taken from games, practices, and Tarkill Soccer Club related activities and events. Individual names will NEVER be listed with pictures.
I have read the above and understand all the terms and conditions. I agree to hold Tarkill Soccer Club and all Board of Directors, Coaches and players harmless from any and all claims arising from my child’s participation.
Mail in registration
Registration forms must be postmarked by May 9th
Please Complete Registration and Bond Forms
Mail both to Tarkill Soccer Club, P.O. Box 43, Stratford, NJ 08084.
*Please note:
Bond Form must be mailed or dropped off at clubhouse if online registration method is chosen.
Copyright © 2008 Tarkill Soccer Club. All Rights Reserved.
Designed & Developed By:
www.metasenseusa.com
Last Updated: