Sample Page - Cape Noon Optimist

Child's Information
- Child's Name*
  First Last
- DOB*
- Gender*
  - Male
  - Female
- Current Grade*
- Years Played
- Any Family Members playing ?
Has player played on All Star/Select or Travelling team in last three years?*
- Yes
- No
Parental Information
- Dad's First Name*
- Dad's Last Name*
- Dad's Home Phone
- Dad's Cell Phone*
- Mom's First Name*
- Mom's Last Name*
- Mom's Home Phone
- Mom's 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.
- Yes
- No
Are you interested in sponsoring a team?
Name of Sponsor:

Appears on back of shirts
Consent*
I agree
I/We the parent(s) of the child named above who will participate in the SEMO INDOOR SOCCER LEAGUE(SISL), hereb give my/our permission for his/her participation in the activities of SISL in the current season. 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.
Credit/Debit Card Information
- Credit Card
  
  American Express
  Discover
  MasterCard
  Visa
  Supported Credit Cards: American Express, Discover, MasterCard, Visa
  Card Number Expiration Date Security Code Cardholder Name
- Email
- Address
- City
- State
- Zip
Sponsorship & Registration
Price:
Sponsorship & Registration
Price:
Registration
Price:
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Child's Information

Parental Information

Terms and Sponsorship

Credit/Debit Card Information