LATE Recreation Registration - SPRING 2019
​After Jan. 31, 2019
Payment is required to hold your place, and will be refunded in full only if child cannot be placed on team.

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    Player Information

    Team Placement Information

    Parent Information

    Sign-up to coach, 
    > Get your choice of practice night
    > $10 gift card to Buffalo Wild Wings
    > Coaches T-shirt

    Sign-up to Sponsor, 
    >Get your child's registration fee waived! (up to $110)
    > Your business name on the team jerseys
    > Your logo/ad on our website
    > Your tax deduction

    Liability Waiver & Medical Consent

    We/ I, as the parent/legal guardian of the player named above, do hereby declare our intent to allow this child to practice, play, and participate in all programs and activities associated with the Pleasure Island Soccer Association, including any related activities and transportation. We/ I hereby release and hold harmless from any and all liability; Pleasure Island Soccer Association, its coaches, sponsors, associated board members and personnel, officials, or any others associated with this organization against any claim by or on behalf of the player’s participation in this program.

    We/ I do hereby authorize Pleasure Island Soccer Association or any representatives including coaches, officials, or anyone associated with this organization, if after reasonable attempt has been made to reach the designated parent/guardian named above to consent, or if sound medical practice decrees that there is not time to make such an attempt, to consent to any x-ray, anesthetic, medical or surgical diagnosis or treatment or hospital care, to be rendered to the player under the general or special supervision and on the advise of any physician, dentist or surgeon duly licensed to practice, be indeed rendered to the Registrant. 

    By clicking the Submit button below, I agree to have read the Liability Waiver & Medical Consent above.
    I understand my child is not registered to participate until payment is made immediately upon submitting this player form.
    (you will be directed to payment page)
- REFUND POLICY -
Once a registration form is received, immediate costs are incurred by PISA including purchase of jersey, screen printing, insurance, etc.
In an effort to continue to keep costs low, partial refunds are only available prior to the final deadline or if your child cannot be placed on a team.