MSPTO Soccer Fall Signup

MSPTO Soccer Fall 2013 Signup Updated

Memorial-Spaulding PTO

Kindergarten Soccer Fall 2013

Sign up now for Kindergarten Soccer Fall 2013!

The program is an introduction to soccer and the focus will be on fun and developing confidence. The teams will be small and each session will include simple drills and a game.

Kindergarten Soccer will meet for 8 Saturdays from 9:00-10:00 am, September 14 – November 16 at the Memorial Spaulding’s Upper Field. There will be no soccer on Saturday, October 12 (Columbus Day weekend) and November 9 (Veterans Day weekend). The program is open to all children in the Newton area.

Children must be accompanied by an adult – this is not a drop-off program.

Kindergarten Soccer is run by parent volunteers and

we need parents to help as coaches and assistant coaches. No previous knowledge of soccer is required. So if you are interested in signing up your child, consider signing up yourself as well!

Kindergarten Soccer asks for a voluntary contribution of

$65, payable to the Memorial Spaulding PTO. Your child will receive a team T-shirt, as well as a trophy at the end of the program. Every child must wear shin guards each week or they will not be permitted to play. Bring a #3 size soccer ball if possible. Some children wear cleats. However, sneakers are fine.

Enrollment is limited and handled on a first come, first served basis

. Team assignments as well as assigned coaches will be e-mailed by Wednesday, September 11. There will be no other confirmation of registration. If you have any questions, please contact Mike Lange at, or 617-216-5552 (cell).

Please complete and sign the attached registration and release form, and send a check for the $65 contribution along with this form ASAP, but no later than Friday, September 6 to: MIKE LANGE, 15 FOX LANE, NEWTON, MA 02459, or DROP IT OFF AT SCHOOL IN THE KINDERGARTEN SOCCER MAILBOX IN THE FRONT HALL. Make checks payable to

Memorial Spaulding PTO. 2

Kindergarten Soccer Fall 2013 Registration Form

Child’s Name: _______________________________________ Sex: ____ Date of Birth: __________

Parent’s Name(s): ___________________________________________________________________

Address: ______________________________________ E-mail(s): ____________________________

Home Phone: __________________________ Cell Phone: _______________________________

School: ___________________ Teacher: _____________________

Can you coach a team? _________________ or Can you assist with a team? ____________________

Are there kids your child would like as teammates? We will only guarantee

ONE request.

1. ______________________________________ 2. ______________________________________






I, the parent/guardian of _____________________, a minor, do hereby consent to his/her participation in the Memorial Spaulding Elementary School Parent Teacher Organization (“Memorial Spaulding PTO”) Kindergarten Soccer Program (the “Program”) including but not limited to soccer activities, indoor/outdoor play, practices, games, clinics and matches offered by the Memorial Spaulding PTO or the Program. Recognizing the possibility of physical injury associated with soccer and participation in the Program, and in consideration of the Memorial Spaulding PTO and the Program accepting the above minor for participation in the Program, on behalf of myself and the above minor, I do hereby forever release, acquit, discharge and covenant to hold harmless and indemnify the Memorial Spaulding PTO and the Program and each of their officers, directors, agents, coaches, committees, parent assistants, employees and all their associated personnel, of and from any and all claims, demands, actions, cause of actions, damages, costs, expenses, suits and/or all liability arising out of, or as a result of, the above minor’s participation in the Program.


As parent/legal guardian of the above minor, I hereby give my consent to the Memorial Spaulding PTO and the Program (or any of their agents, employees or associated personnel identified above) to seek, obtain and provide emergency care for the above minor in case of injury that occurs to the above minor while he/she is participating in the Program or any Program-related activity. I understand that such care will be sought and provided only in an emergency and that reasonable efforts will be made to contact me before providing such treatment.

Parent/Guardian Signature:_____________________________________ Date:_________________

Please send your check for the $65 voluntary contribution along with this form by September 6 to: MIKE LANGE, 15 FOX LANE, NEWTON, MA 02459, OR DROP IT OFF AT SCHOOL IN THE KINDERGARTEN SOCCER MAILBOX IN THE FRONT HALL. Make checks payable to