Gates Youth Soccer League Registration
Player Contact Information
First name  
Last name  
Gender  
Birthday
E-mail address  
Phone  
Address  
City  
Zip  
Parent/Guardian #1 Contact Information
First name  
Last name  
E-mail address
Phone  
Address
City
Zip
Relationship to player  
Interested in coaching
Parent/Guardian #2 Contact Information
First name
Last name
E-mail address
Phone
Address
City
Zip
Relationship to player
Interested in coaching
Emergency Contact Information
Contact  
Contact Phone Number  
Relationship to player
Medical Comments
Comments
Uniform Information
Uniforms are NON-RETURNABLE. Please be sure to choose the appropriate size for your player, paying special attention to the youth and adult designations.
Jersey Size  
Payment options



If paying by check please send your payment along with the player name/parent name and confirmation number with your check to the address below.
First name on credit card
Last name on credit card
Credit card number
Credit card expiration (0415)
Credit card CCV
Billing Address
Billing City
Billing State
Billing Zip
 
 
Mail fees and correspondence to:


Gates Youth Soccer League (GYSL)
2117 Buffalo Rd
PO Box 191
Rochester, NY 14624