Volunteer On-Line Registration
Online LYSA TOPSoccer 2017 Fall Volunteer Registration Form

LYSA TOPSoccer is looking for volunteer coaches, athlete buddies and committee members. Volunteers are a critical component to the success of the league. TOPSoccer buddies can be caregivers, aides, family members, peers, teenagers, adults, soccer players, someone who works with individuals with disabilities, or anyone who is looking to have fun and help others. Head coaches should be at least 18 years of age. Assistant Coaches should be at least 16 years of age. Coaches are asked to attend each session. Practices will be held at Masterson Station Park on Field #3 from 1 to 2 p.m. and 2 to 3 p.m. The season will run from September 10 through October 29.

Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone *
Your answer
Cell Phone
Your answer
Email Address *
Your answer
Age *
Your answer
School/Organization: *
Your answer
T-Shirt Size
Soccer Experience: Briefly describe your soccer playing, refereeing, and/or coaching experience. *
Your answer
Experience With Individuals with Disabilities: Briefly describe your experience working with individuals with disabilities. *
Your answer
Please select the ways you would like to participate (select all that apply):
Volunteer Dates: It is best for our TOPSoccer athletes if their Buddy can come each week; but we know that may not be possible. Please mark all of the dates that you will be in attendance.
Please Note: Other events may be added during the season such as social outings on weeknights and weekends as well as other potential events. These events are not required but you will be informed of the events and offered the opportunity to attend.
Agreement: I understand that I am expected to attend the sessions marked above and if I cannot attend any of those sessions, I will contact the volunteer coordinator or the league director as soon as possible to make sure they can arrange for a replacement.
Waiver of liability: I, and or the parent/guardian of a minor registrant, agree to abide by the rules of TOPSoccer, the Lexington Youth Soccer Association, and its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for LYSA TOPSoccer and KYSA accepting the registrant for its soccer programs and activities (the “Programs”), I hereby release, discharge and/or otherwise indemnify LYSA TOPSoccer, the KYSA, its affiliated organizations and sponsors and their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the Programs.. I also give my permission to use my photograph in TOPSoccer publicity and publications.
Signature *
Your answer
Date *
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Parent E-Mail (if under the age of 18)
Your answer
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