DERBY YOUTH SOCCER - 2015 - SEASON REGISTRATION

Derby Youth Soccer will conduct a two season registration similar to the recently completed 2014 campaign.
The Spring 2015 season will start in late March/early April and end in late June.
The Fall 2015 season will start in late August/early September and end in late October/early November.
Our annual banquet will follow.
The children will be assigned to a team and given a tee shirt for both seasons [you will need to provide shin
guards, socks to cover the shin guards, cleats, soccer ball, ( # 4 for div. I-II & III and # 5 for div. IV), and
additional tee shirt if needed].
No one will be allowed to play without proper equipment and a team tee shirt.
Boys and girls born on or between January 01, 2001 and September 1, 2010 will be eligible to register to play.

You may elect to participate in one or the other or both seasons

The two-season registration fee is $20.00 each for the first two children and $10.00 for each additional child.
The fee for each half season is $15.00 per child.
Refunds for Full or Spring season will not be made after March 30-2015.
Refunds for Fall season will not be made after August 01 2015.
ALL NEW REGISTRATIONS must be accompanied with a copy of the childs birth certificate.
Please mail the form, by 28-February-2015, to: Mario Tessitore, 440 Peck Lane, Orange, CT.06477.
Payment must be made by check or money order made payable to Derby Youth Soccer.
Late registrations will be accepted based on roster availability.
Our League is composed of FOUR divisions based upon enrollment, ages, experience and ability.
All participants will receive free admission to our annual banquet.
As always, our volunteers strive to insure the safety of your children and that they have fun playing one of the
best sports in the world.
For information or questions, call Mario Tessitore, Director, at 298-9490, Chantal Gerckens, Asst. Director, at 734-0330.

SPONSOR(we need sponsors), As you know sponsors play a vital part in our program.
So if you or if you know someone that would like sponsor a team (cost is $ 175 per year)

Let us know by calling Chantal at 734-0330 or fill in the name and the phone # below;
Sponsor Name____________________________

Phone # _____________

PARENTAL SUPPORT(we need coaches), coaches are always needed. No soccer experience needed, but
pleasant demeanors preferred. Anyone wishing to help out will be greatly appreciated and assistance will be
given.
Your Name___________________________
Phone # ______________
Your continued cooperation and support of our league is very much appreciated.

See opposite side for the registration form

IN-HOUSE REGISTRATION (recreational) 2015
Check one:

Spring and Fall ($20.00 each for the first 2 children, $10.00 for the third and up)
. Spring Only (S15.00)

X.. Fall Only ($15.00)

Paid $. Check or M/O #. E-Mail address..

Mail to: Mario Tessitore, 440 Peck Lane., Orange, CT. 06477 (one form per player)
(See Back Page for Additional Instruction)

Please print all the information clearly

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