Please fill this form out as best as you can. Items marked with a * are required; if you do not fill them out, you will not be able to register.

After you click Submit, the next page will be a confirmation page, which you can print out for your records.

* Required field
1. Player Information
* Player's first name:
* Player's last name:
* Gender:	Boy Girl
* Date of birth: (mm/dd/yyyy)	Month January February March April May June July August September October November December / Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Year 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Grade next fall:	Select One 1 2 3 4 5 6 7 8 9 10 11 12 13
School next fall:
* Email address: (if available, otherwise please put "none")
* Home phone:	--
* Cell phone:	--
* Mailing address:
* City:
* State:	IL AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY
* Zip code:
Prior soccer experience:
Other activities:
New GYSA player?	Yes No
If new player, you will need to bring a copy of proof of age – birth certificate or passport – to tryouts registration.
Does the player wish to try out as a goalkeeper? (will not affect field position tryouts)	Yes No
Any other comments:
2. For Parents/Guardians, select appropriate gender for guardian (do not repeat information which duplicates player's information above)
Only register father/ male guardian:
* Father/male guardian's name:
Email address:
Home phone:	--
Cell phone:	--
Work phone:	--
Mailing address:
City:
State:	IL AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY
Zip code:
Only register mother/ female guardian:
* Mother/female guardian's name:
Home phone:	--
Cell phone:	--
Work phone:	--
Email address:
Mailing address:
City:
State:	IL AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY
Zip code:
3. Volunteer Opportunities for Parents/Guardians The Glenview Youth Soccer Association depends upon the efforts of parent and guardian volunteers to develop, implement, and oversee its programs. Please indicate below which of the following roles you might be interested in assuming. Someone from the club will contact you to discuss what is involved, at which time you can make a final decision.
Father:	Board of Directors Assistant Coach Team Manager Concession stand
Mother:	Board of Directors Assistant Coach Team Manager Concession stand