Please enable JavaScript in your browser to complete this form.2024 North Middlesex Minor Soccer Association Registration - Season Runs May 11 - July 20, 2024 - Step 1 of 5 2024 North Middlesex Minor Soccer Association Registration - Season Runs May 11 - July 20, 2024 Parent or Guardian Name *Phone Number *Address *Address Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmail *Next I am interested in Coaching *NoU4U6U8U10U12How Many Children to Enroll? *12345Next Player #1 Details & Information Player #1 Name (Full Name - First & Last) *Player #1 Age Bracket *U4 (2020-21) - $60.00U4 (2020-21) - $60.00U6 (2018-19) - $70.00U8 (2016-17) - $70.00U10 (2014-15) - $80.00U12/14 (2010-13) - $80.00Player #1 Date of Birth *Player #1 Gender *BoyBoyGirlOtherPlayer #1 Shirt Size *Youth X-SmallYouth X-SmallYouth SmallYouth MediumYouth LargeYouth X-LargeAdult X-SmallAdult SmallAdult MediumAdult LargeAdult X-LargePlayer #1 Shorts Size *Youth X-SmallYouth X-SmallYouth SmallYouth MediumYouth LargeYouth X-LargeAdult X-SmallAdult SmallAdult MediumAdult LargeAdult X-LargePlayer #1 Health Concerns (if applicable) Visual Text (HTML) Player #2 Details & Information Player #2 Name (Full Name - First & Last) *Player #2 Age Bracket *U4 (2020-21) - $60.00U4 (2020-21) - $60.00U6 (2018-19) - $70.00U8 (2016-17) - $70.00U10 (2014-15) - $80.00U12/14 (2010-13) - $80.00Player #2 Date of Birth *Player #2 Gender *BoyBoyGirlOtherPlayer #2 Shirt Size *Youth X-SmallYouth X-SmallYouth SmallYouth MediumYouth LargeYouth X-LargeAdult X-SmallAdult SmallAdult MediumAdult LargeAdult X-LargePlayer #2 Shorts Size *Youth X-SmallYouth X-SmallYouth SmallYouth MediumYouth LargeYouth X-LargeAdult X-SmallAdult SmallAdult MediumAdult LargeAdult X-LargePlayer #2 Health Concerns (if applicable) Visual Text (HTML) Player #3 Details & Information Player #3 Name (Full Name - First & Last) *Player #3 Age Bracket *U4 (2020-21) - $60.00U4 (2020-21) - $60.00U6 (2018-19) - $70.00U8 (2016-17) - $70.00U10 (2014-15) - $80.00U12/14 (2010-13) - $80.00Player #3 Date of Birth *Player #3 Gender *BoyBoyGirlOtherPlayer #3 Shirt Size *Youth X-SmallYouth X-SmallYouth SmallYouth MediumYouth LargeYouth X-LargeAdult X-SmallAdult SmallAdult MediumAdult LargeAdult X-LargePlayer #3 Shorts Size *Youth X-SmallYouth X-SmallYouth SmallYouth MediumYouth LargeYouth X-LargeAdult X-SmallAdult SmallAdult MediumAdult LargeAdult X-LargePlayer #3 Health Concerns (if applicable) Visual Text (HTML) Player #4 Details & Information Player #4 Name (Full Name - First & Last) *Player #4 Age Bracket *U4 (2020-21) - $60.00U4 (2020-21) - $60.00U6 (2018-19) - $70.00U8 (2016-17) - $70.00U10 Saturday AM (2014-15) - $80.00U12/14 Saturday AM (2010-13) - $80.00Player #4 Date of Birth *Player #4 Gender *BoyBoyGirlOtherPlayer #4 Shirt Size *Youth X-SmallYouth X-SmallYouth SmallYouth MediumYouth LargeYouth X-LargeAdult X-SmallAdult SmallAdult MediumAdult LargeAdult X-LargePlayer #4 Shorts Size *Youth X-SmallYouth X-SmallYouth SmallYouth MediumYouth LargeYouth X-LargeAdult X-SmallAdult SmallAdult MediumAdult LargeAdult X-LargePlayer #4 Health Concerns (if applicable) Visual Text (HTML) Player #5 Details & Information Player #5 Name (Full Name - First & Last) *Player #5 Age Bracket *U4 (2020-21) - $60.00U4 (2020-21) - $60.00U6 (2018-19) - $70.00U8 (2016-17) - $70.00U10 (2014-15) - $80.00U12/14 (2010-13) - $80.00Player #5 Date of Birth *Player #5 Gender *BoyBoyGirlOtherPlayer #5 Shirt Size *Youth X-SmallYouth X-SmallYouth SmallYouth MediumYouth LargeYouth X-LargeAdult X-SmallAdult SmallAdult MediumAdult LargeAdult X-LargePlayer #5 Shorts Size *Youth X-SmallYouth X-SmallYouth SmallYouth MediumYouth LargeYouth X-LargeAdult X-SmallAdult SmallAdult MediumAdult LargeAdult X-LargePlayer #5 Health Concerns (if applicable) Visual Text (HTML) Next I agree that a $30 AGM fee is required to complete the registration process. I understand that this fee will be returned to me if I attend the AGM meeting on September 18th, 2024. Should I not attend the fee will not be returned to me. *I AgreeI understand that NMMSA is required to register all players with the parent organization according to the set deadlines. To avoid risk of incurring club late fines we ask that the March 20th registration deadline be honored. All player registrations received after March 20th deadline will be subject to a per family late fee of $25. *I agreeAll players registered with NMMSA agree to play for this club for the duration of the 2024 outdoor soccer season. All players agree to abide by the F.I.F.A laws of the game, all other rules and regulations set out by the NMMSA executive and all leagues and soccer associations with which it is affiliated. *I agreeNext Code of Conduct I/WE give permission to the player(s) named above to take part in the 2024 outdoor soccer program run by NMMSA I/WE understand that there are inherent risks in soccer, as in all sporting activities I/WE give permission knowing that every reasonable precaution will be taken to provide a safe and enjoyable environment I/WE agree to hold harmless NMMSA from all liabilities and injuries that may be sustained by the above name player(s) I/WE agree to treat the referees with respect and any concerns will be brought to the executives attention Code of Conduct Acceptance *I AgreeTotal$0.00Submit