Tarkill Soccer Club

Fall 2012 Registration

Fall 2011 Bond Form

Fall 2011 Registration

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 2012

PLAYER INFORMATION

Last Name

First Name

Gender

D.O.B.

Grade (as of Sept. 2012)

Shirt Size

Is your child interested in travel soccer?

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

Family Membership Fee $ 35.00

Player Fee
	Number of children born after 8/1/05(U5 and clinic) x $25.00 = $

	Number of children born before 8/1/05(rec and travel) x $40.00 = $

Bond Fee $50.00

Fundraising Fee $30.00

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.