Event Registration - Soccer Season -

You are registering for:

Soccer Season - March 23, 2026
Price: $30.00
Fee: $
Tax: $0.00
Total: $30.00

Location: OIC Excel Youth Center - Yakima
1009 N. 9th Ave.
Yakima, WA 98902

Note: Fields marked with an asterisk (*) are required.

Registrant First Name:* Organizer First Name:* Registrant Last Name:* Organizer Last Name:* Number of Registrants: Team Name (if applicable)

#1 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#2 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#3 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#4 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#5 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#6 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#7 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#8 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#9 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#10 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#11 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#12 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#13 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#14 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#15 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#16 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#17 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#18 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#19 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

#20 - Registrant First Name:* Registrant Last Name* Gender Grade Level Age Email Address Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

Address City* State Zip Phone Number* Email Address* Your preferred method of contact? Preferred Language Coach Name Details (team roster, etc)

Please fill out the form for child/youth participant

Gender Grade Level Age Registrant Skill Level (If Applicable) School Attending Parent Name Emergency Contact Name Emergency Contact Phone Number

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Business Name Name of Contact Person Mailing Address Address 2 City State Zip Phone Email Purchase Order (if applicable)

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