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GPYAC 2026 Youth Soccer

OFFICE USE ONLY

LEAGUE AGE:

TEAM:

RECEIPT #:

GPYAC SOCCER REGISTRATION

PLAYER'S NAME

GENDER
MALE
FEMALE
Birthday
Month
Day
Year
Single choice
NEW
RETURNING (For this sport)
ADVANCING
Multi-line address
Short Size
Shirt Size

IMPORTANT! New players to the YAC program should also attach a birth certificate copy.

I, the parent or guardian of the above named individual, acknowledge that participation in athletic events necessarily involves risk of physical injury. I further acknowledge that the programs of the Youth Athletic Club are primarily administered by parents who volunteer their time, rather than by paid professionals. In consideration for accepting the registration of the above named individual and pennitting the voluntary participation of said individual in its programs, I hereby release, discharge, and hold harmless, Gospel Projects Inc., its employees, volunteers, and other representatives from any claims arising out of or relating to any physical injury that may result to said individual while participating in the Youth Athletic Club sponsored events, including any physical injury by the negligence of any official, referee, or coach while performing his/her duties during any practices or games.

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Today's Date
Month
Day
Year
Product
COST INCLUDES

1. Participation trophy and player certificate

2. Soccer jersey and shorts (provided by team sponsor)

3. All games AND most practices held at our facilities

4. An organized, wholesome program for your children

6331 Chestnut St, Milton, FL 32570

(850) 623-4671 | 8AM-4PM | Mon-Fri

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©2026 by Gospel Projects Youth Athletic Club

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