IMPORTANT UPDATE

Sign up  fee will increase to $55 after the November 3rd deadline. No sign ups are allowed after November 8th, at midnight. No exceptions.

Child Information:

Child's First Name:  Child's Last Name: 
Gender:  Date of Birth: 
Current Age:  Current Grade: 
Years Played:  Brothers/Sisters Playing: 
Has player played on All Star/Select or Traveling team in last 3 years? 
Address: 
Primary Phone:  Secondary Phone:
Email Address: Email not required but prefered for contact updates
Comments
 

Parental Information:

Dad's First Name: Dad's Last Name:
Home Phone: Cell Phone:
Mom's First Name: Mom's Last Name:
Home Phone: Cell Phone:
 

Terms and Sponsorship:

 
Are you interested in coaching a team? It is easy, fun, requires little to no experience in either coaching or soccer. Click 'Yes' if you would like to.
Are you interested in sponsoring a team? ($100)
Sponsor Name(if sponsoring team):
I/We the parent(s) of the child named above who will participate in the SEMO INDOOR SOCCER LEAGUE (SISL), hereby give my/our permission for his/her participation in the activities of SISL in the current season. I/We assume all risks and hazards incidental to the conduct of the activities and transportation to and from the activities. I/We do hereby further release, absolve, indemnify and hold harmless SISL, Southeast Missouri State University and the Cape Girardeau Noon Optimist Club, organizers, sponsors, officers and coaches. In the case of injury to my/our child, I/We likewise understand that the registration fee covers only the cost of t-shirts and game costs and does not provide insurance coverage, shin guards, knee or elbow pads. 

Payment Method:

Credit Card

Credit Card Type:
Card Number:
Exp. Date: /
CVV/CVC(on back of card):
Billing Information
First Name
Last Name
Address
City
State
Zip
Phone
Email Address
You will be charged $45 per signup or $145 if you sponsor a team and signup.
Please note that the charge will appear as "Cape Noon Optimist Club" on your credit card statement.
Please also view our Privacy Policy and our Terms and Conditions
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