Register For
Bentworth Area Youth Soccer Association

Bentleyville, PA 15314

Registrant #1

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Format: mm/dd/yyyy
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Choose Your Event *

Saturday September 6, 2025
Open to ages 4 - 8.

$35.00 + $3.10 SignUp Fee

Sunday September 7, 2025
Open to ages 9 - 12.

$70.00 + $5.20 SignUp Fee


Waiver

I hereby give my permission for the above named player to participate in any and all activities of the Washington county youth soccer association (WCYSA). I assume all risks and hazards incidental to such participation, including transportation to and from such activities. Further, I give my permission to WCYSA to seek emergency treatment of and injury or illness of my child. I hereby wave, release, absolve, indemnify and agree to hold harmless WCYSA and its organizers, officers, directors, sponsors, supervisors, volunteers, coaches, officials, participants and person transporting my child to or from activities from all claims arising out of injury to my child. My child and I are aware that participating in soccer is a potentially hazardous activity. I assume all risks associated with participation in this sport, including but not limited to, falls, contact with other participants, the effects of weather, traffic and other risks associated with sports. All such risks to my child are known and understood by me. I understand this informed consent for and agree to its conditions on behalf of my child and myself. I also understand that the referee is in charge of the match and that I, as a parent, will not challenge the referee about any calls during a match. I also understand that my actions can and will be used against me if WCYSA needs to hold any disciplinary hearings due to my behavior on or off of any field. WCYSA fully supports all of our referees, and will take action to protect them from any type of abuse. I understand there are no refunds once my child is registered. I understand that I am responsible for the fundraiser or buyout.




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