Pre-K Soccer Registration (Spring 2006)

Fill out the information below, check it carefully, then click "Submit" at the bottom of the screen. A "disclaimer" page will open up. Please print three copies of the disclaimer, saving a fourth copy for your records. Repeat the entire process if you are registering more than one player. If you make a mistake, you may register a second time. To complete the registration process, send the three copies of the disclaimer, a copy of your child's birth certification, and a check for $65 to the address indicated on the disclaimer page. The check should be made out to "Irvington AYSO." You will receive an email confirmation of your registration.

Please note:  Your registration is not complete until three copies of the signed disclaimer form with your child's information, a copy of your child's birth certificate and a check or paypal receipt have been received by the registrar.  The mailing address is:
Amy Zerman
36 Butterwood Lane East
Irvington, NY 10533



Player's first name  Last name

Street address                                                                  

City  State         Zip


Parents' Email Phone Cell Phone (if any)


Mother/Guardian (full name) Father/Guardian (full name)
AYSO is an all-volunteer organization. We depend upon your help in running programs like this. Would you be willing to help organize this program?




Physician Physician phone


Emergency contact Emergency phone




Birthdate:  ,

Please include a copy of the player's birth certificate when returning the disclaimer page.


Comments. (Include in this field any relevant information, including special health conditions and/or allergies).


Check all the information above very carefully before clicking "Submit." On reaching the disclaimer page, make sure the player's information was successfully registered. We strongly advise you to save the disclaimer page as an HTML document on your computer in case you have printing problems.