2010-2011 BUYSA Registration

Complete the following registration information and click the Submit Registration button on the Submit tab to begin processing your registration. You must complete all required fields on each tab in order to proceed with your registration.

Please use one form per player.


(proof of age document required)
($15 fee and form required if living outside catchment area)
Player's Last Name * Player's First Name * Player's Initials Gender *
 
Address * Birth Date (YYYY/MM/DD) *
 /  /
School * School Not Listed Municipality * Municipality Not Listed
City * Postal Code * Home Phone * Alternate Phone
   -  -  -  -
Email Address * Second Email Address
If player female and birth year 1992 - 2002, indicate preferred division:  


* indicates mandatory field

Bays United Youth Soccer Association Web Site