REGISTRATION APPLICATION

Registration will Open June 1, 2025 for the Fall 2025

REGULAR REGISTRATION

DIVISION 5: $105

DIVISION 4, DIVISION 3: $125

DIVISION 2, DIVISION 1, DIVISION HS: $135

The Bartlett Parks and Recreation Department charges a $15 non-resident fee for participants that live outside the city limits of Bartlett.

REGISTRATION FEE PAYMENT

Registration fees are due by or on Saturday, July 19th, 2025

Registration payment can be:

Through Klarna & Affirm when you finish the registration application.
delivered in-person at the Bartlett Blvd Soccer Complex on Saturday, July 19th, 2025 from 9:30 a.m. to 10:30 a.m. Acceptable forms of payment are limited to Personal Check or Cash in exact amount enclosed in an envelope with the player’s name.

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RELEASE OF LIABILITY FOR MINORS

MEDICAL ATTENTION POLICY

Division

Uniform Size

Player First Name

Player Last Name

Gender

Date of Birth

Month

Day

Year

Street Address

City

Zip Code

Are You A Bartlett Resident?

Yes

Parent/Guardian First Name

Parent/Guardian Last Name

Phone Number

Contact Email Address

Release of Liability I have read, understood and will abide by the Release of Liability for Minor Participants statement.

Student-Athlete & Parent/Legal Guardian Concussion Statement I have read, understood and will abide by the Student-Athlete & Parent/Legal Guardian Concussion Statement

BYSA Policies I have read the Request, Refund, Sportsmanship, Insurance, Photo Release Agreement and Medical Attention Policy sheet and agree to abide by those policies.

Trainer Response: Is a family member willing to coach or help coach your child's team? (You DO NOT need to know anything about soccer to be a trainer. You will be provided a training session and a booklet with the games used to teach the players.)

Trainer (This means I am willing to coach a team by myself.)

Dual Trainer (This means I am sharing coaching responsibilities with another Dual Trainer.)

If the league is running short, you can contact me

Presently unavailable

If you marked Trainer or Dual Trainer, complete this:

First + Last Name

Request: If you want to request to play for a particular coach/trainer or if you want to play on the same team as a particular player, enter their name here