Information

Games take place on the soccer fields at Doe River Gorge Christian Camp located in Hampton, and Hunsinger Field next to Elizabethton High School. The season starts September 6 and lasts eight weeks (ending October 25). Practices will be held at various soccer fields around Elizabethton. The coach will call you with further details.

Registration Open: May 20 through July 31, 2017

Ages: Anyone born in the years 2002-2014

Required Equipment: Shin guards, socks, sneakers (Soccer cleats are optional), shorts, soccer ball, (U6 size 3, U8 and U10 size 4, U12 and U14 size 5)

This year we are offering players an opportunity to be a part of the FC Dallas Tri-Cities Soccer League for an additional fee of $25.  This experience will help them develop their skills to the next level.   These games will be held on Sundays in the Tri-Cities area. Please click here for more information. (Ages 5+ Only)

Doctors

Davenport                 423-542-4189
ETSU physicians     423-439-7320
Hecht Riverside       423-547-9400
Hopland                    423-543-2584
Kitchens Riverside  423-547-9400
Powers Village          423-547-9355

 

Download PDF Form

Download the 2017 PDF Registration Form


Player Information

Name*
Birthday*
Age Group*
Players will be grouped together based on their age as of January 1st, 2017. If the player wishes to play up, please select the age group they wish to play in.
Gender*
Mailing Address*
City*
State*
Zip*
Family Doctor*
Family Doctor's Telephone Number*
Medical Information, Allergies, etc.

Parent or Guardian Information

Name*
Phone Number*
Email Address*
Guardian 2 / Emergency Contact
Secondary Phone Number

Placement Preferences

Do you or the player have preferences on placement? Examples: to be a on specific team, have a specific coach, on the same team as another player, etc. Please list three individual preferences below.

1st preference
2nd preference
3rd preference

Volunteer

Would you like to coach or assistant coach?
Would you like to help out with ESA?

As the named parent or guardian, I acknowledge the medical release and confirm all submitted information is accurate.
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