Tryout/Season Payment Registration - Washburn Boys Soccer

Contact Information
Primary Contact Name*
Who should we be in contact with regularly about the player? This is typically a parent or guardian.
First Last
Primary Contact Email*
Your email address
Primary Contact Phone*
Your phone number
Address*
Street Address City State ZIP Code

Player Information
Information about the player who is registering for tryouts
Player's Name*
First Last
This field is hidden when viewing the form
Name of Player
Player's Date of Birth*
MM slash DD slash YYYY
Player's Student ID Number
Enter this if known
Player's email
It is highly recommended that you provide the player’s email. It is used for communication before and during the season.
Graduation Year*
What is the player’s high school class/year of graduation?
T-Shirt Size*

Emergency Contact Information
Name of Person to Contact in Case of Emergency*
Emergency Contact Phone*
Name of Player's Regular Doctor
Doctor's Phone Number

Payment
Season Registration*
Price:
Optional Booster Contribution

A booster contribution is optional but strongly encouraged. Contributions are used to support the boys soccer program, including paying coaches and providing needed equipment and gear. Find out more about what booster funds do here. Booster contributions are tax-deductible and are not required for a player to participate in the soccer program.
- Individual (Recommended). The individual level ($100) equals a contribution on behalf of one player. It includes a Washburn Soccer yard sign for display during the season.
- Sponsorship. A Sponsorship level ($200) equals a contribution on behalf of two players. It includes a Washburn soccer scarf, hat, or beanie as well as a Washburn Soccer yard sign for display during the season.
- Pay What You Want. If you want to pay more or less or pay any amount, this is your best option. You will be prompted to enter your preferred amount.
- Booster Contribution
  Choose what you wish to contribute or whether you wish to do so at this time
- Contribute What You Want
  Enter the amount you wish to contribute to the booster program.
- Scholarship Code
  The discount code is supplied solely by the high school after confirming a family qualifies for a scholarship/discount.
- Washburn Boys Soccer Program Registration
  Total registration cost, including booster contributions and any applied scholarships
  $0.00
- Credit Card
  Card Details
  Cardholder Name
- Name
  This field is for validation purposes and should be left unchanged.

Tryout Registration

Payment Registration

Contact Information

Player Information

Emergency Contact Information

Payment

Optional Booster Contribution