2021 CYO Soccer Registration
Note that your CYO registration is not final until payment is received online or in our office.

Fee is $85 per youth.

If you are in need of a scholarship to cover part of your fee, or have any registration questions contact our office at 585-338-1146

Online Registration closes August 15, 2021. Fill out one form per child.

Refunds can be made in full prior to the first practice.  Refunds after practices have started but prior to game play will be subject to a $10 administrative fee and possible other fee based on expenses already incurred (i.e. uniform or other materials already purchased for youth). Zero refund after first game.

Payment Options:
1. Pay online here: https://www.kateriirondequoit.org/faith/faith-formation-registration/
2. Mail or drop off a check or exact cash to Faith Formation Office, 445 Kings Hwy S, 14617.  
Please make checks payable to Saint Kateri, with 'CYO Soccer' listed in the memo line.

If you are in need financial assistance to cover part of your fee, or have any registration questions contact our office at 585-338-1146
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Email *
Are you registered at Saint Kateri Parish? Please note that preference is given to registered parishioners and teams must be at least 66% parishioners on the final rosters.  If you have any questions about whether you are registered, call the parish office: 544-8880. *
Parent volunteers are essential to the success of this organization.  We ask that every parent volunteer for one role each season. We require help to setup for home games, scoring, timekeepers, team managers, sideline assistance, and more. Current Creating a Safe Environment (CASE) Training is required. I can help: *
Required
Child Last Name *
Child First Name *
Child Middle Name
Child Date of Birth *
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/
DD
/
YYYY
Child Gender *
Child Name of School in the 2021-2022 School Year *
Child Grade in School in 2021-2022 School Year *
Child Special Needs and/or Allergies (please list all below or put "N/A" if not applicable) *
Child Uniform Size (Shirt) *
Child Uniform Size (Shorts) *
Parent 1 Last Name *
Parent 1 First Name *
Parent 2 Last Name *
Parent 2 First Name *
Primary Phone *
Primary Email Address *
Other Email Address
Street Address *
Town/City *
Zip Code *
Emergency Contact Name (someone other than a parent) *
Emergency Contact Phone *
Name of Health Insurance Company *
Health Insurance Policy Number *
Child's Physician *
Physician Phone Number *
I hereby certify that the above information is correct and give permission for my child to be transported in privately owned vehicles for medical emergencies only, and for the release of medical records to an attending health care professional in case of illness.  I understand that every effort will be made to contact the parent/guardian.  If one cannot be contacted, I hereby give permission for a qualified physician to secure proper treatment for my child.  I certify that my child is in good physical health and has no limitations other than those I have listed, which may predispose him/her to risk during the program. I hereby release the Diocese of Rochester and all of its affiliated entities, including its employees, volunteers and the parish sponsor, from any and all liability for any damages suffered as a result of or relating to my child’s participation in the CYO program.  CYO Athletics is not responsible for lost or theft of personal or team articles. I give Saint Kateri Parish permission to use pictures and/or videos of my child for the Saint Kateri Parish website, newsletters and bulletins.  Parent/Guardian Signature (Required): *
A copy of your responses will be emailed to the address you provided.
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