GSYSL

Club Registrars Responsibilities

I understand it is my responsibility to provide and verify the information I am providing to

Granite State Youth Soccer League is correct and accurate.

Player Membership Form: Registration:

Player's Last Name, First Name, Mid Initial - (not required)

Player’s Address, Date of Birth, Telephone number

Player’s Father's Name, Mother's Name, Telephone number

Player’s Medical problems

Person to notify in case of emergency

Verification of Signed Waiver

Verification Consent for Medical treatment (minor)

Proof of age: birth Certificate( if new player)

Roster:

Verification of Coaches Code of Conduct (Required)

Verification of Kid’s Safe Registration (Every on Adult on Roster)

Fill out Roster: League, Season, Gender, Age, Club, Team ,

Coach:

Coaches First Name, Last Name, Address, City, State, Zip, Home Phone,

Work Phone, Cell Phone, E-mail address and License

(for everyone on roster even Team Managers)

NHSA:

Verify that all Insurance Fees are paid to NHSA

GSYSL:

Verify that all Team Fees are paid to GSYSL

GSYSL:

Copies of Birth Certificates for all New and

Previously Un-registered players should be sent to:

Bonnie Watson

190 Browns Pasture Road

Strafford NH 03884

Player Cards: Must be laminated with a current 1”x 1” photo

______________________________ __________________________

Club Name Email

______________________________ __________________________

Registrar’s Signature Date

Name and Save this form, then email to Bonnie Watson at JBVJW@aol.com by clicking on the email icon in the PDF toolbar at the top of the page.