Initial Player Registration | Upstate Elite Socc 1

Upstate Elite Soccer Academy Player Registration

Players First Name

Players Last name

Parent 1 Email

Parent 2 Email

Multi-line address

Country/Region

Address

City

Zip / Postal code

Players DOB

Month

Day

Year

Allergies (if none type "none"

Parent 1 Phone Number

Parent 2 Phone Number

Top 3 Desired Jersey Numbers

Discuss with team manager once approved can order uniforms

File upload

Close up from shoulders up, cannot be wearing a hat

File upload

This required for NYSW age verification,

Registration Fee

$30

New York State West Registration Fee

Parents Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

The parents signature verifies you have reviewed and agree with the player packet