Register

2025 Fall Season Summary:
Our youth soccer club’s 2025 Fall Season offers structured training and competitive play for ages 4 – 9, with weekday practices and Saturday games.

$100 per player

Divisions

U9 Division

U6 Division

Registration Form

Step 1 of 5

Player Information

Name(Required)

First Middle Last

Name on Back of Jersey(Required)

Uniform Size – Shirts(Required)

Number for Back of Jersey – 1st Choice

This is a request and we will do our best to give your child one of these numbers but cannot make any promises.

Number for Back of Jersey – 2nd Choice

This is a request and we will do our best to give your child one of these numbers but cannot make any promises.

Date of Birth(Required)

Gender(Required)

Birth Certificate Upload(Required)

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 2 MB.

Address(Required)

Street Address Address Line 2 City State ZIP Code

Parent / Guardian Consent & Agreements

Agreement To Abide By And Follow Rules / Code Of Ethics(Required)

I agree

Parents/Spectators Code of Ethics & Agreement * I will encourage good sportsmanship by demonstrating positive support for all players, coaches, game officials, and administrators at all times. * I will place the emotional and physical well-being of all players ahead of any personal desire to win. * I will support the coaches, officials, and administrators working with my child, in order to encourage a positive and enjoyable experience for all. * I will remember that the game is for the players, not for the adults. * I will ask my child to treat other players, coaches, game officials, administrators, and fans with respect. * l will always be positive. * l will always allow the coach to be the only coach. * I will not get into arguments with the opposing team’s parents, players, or coaches. * I will not come onto the field for any reason during the game. * I will not criticize game officials. * Alcohol, illegal drugs, and unauthorized prescription drugs shall not be possessed, consumed or distributed before, during or after any game or at any other time at the field and/or game complex.

I agree to abide by and follow the Belleview United Soccer Club’s rules and zero-tolerance policy, a copy of which is available on the club’s website. I also understand that my child, as well as all spectators coming to support my child, must also abide by and follow the code of ethics. I understand that any violation of the code of ethics may result in the expulsion of my child/children and myself from the Belleview United Soccer Club’s soccer program. I also understand that should my child/children be expelled, that I am not entitled to nor will receive a refund from the Belleview Soccer Club program, or any other entity. By my signature below, I am certifying that I have read and agreed to the above stipulations and agreements contained on this form. I bind myself, the minor, and all other assigns to the terms stated, and I certify that I have the legal capacity to do so.

Communicable Disease Release Of Liability And Assumption Of Risk Agreement(Required)

I agree

In consideration of being allowed to participate in any way in any Belleview United related events and activities I, the undersigned participant, parent, or legal guardian, acknowledge, appreciate, and agree that:

By participating in Belleview United related events and activities, there are certain risks to me arising from or related to possible exposure to communicable diseases including, but not limited to, the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)”, which is responsible for the Coronavirus Disease (also known as COVID-19) and/or any mutation or variation thereof (collectively referred to as “Communicable Diseases”). I am fully aware of the hazards associated with such Communicable Diseases and knowingly and voluntarily assume full responsibility for any and all risk of personal injury or other loss that I may sustain in connection with such Communicable Diseases.

I, for myself or for my minor child(ren) or ward(s), and on behalf of my/our heirs, assigns, beneficiaries, executors, administrators, personal representatives, and next of kin, HEREBY EXPRESSLY RELEASE, HOLD HARMLESS, AND FOREVER DISCHARGE BELLEVIEW UNITED and its officers, officials, agents, representatives, employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises including CIty of BElleview related events and activities take place (the “Released Parties”), from any and all claims, demands, suits, causes of action, losses, and liability of any kind whatsoever, whether in law or equity, arising out of or related to any ILLNESS, INJURY, DISABILITY, DEATH, OR OTHER DAMAGES incurred due to or in connection with any Communicable Diseases, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASED PARTIES OR OTHERWISE, to the fullest extent permitted by law.

I agree that this Agreement is intended to be as broad and inclusive as is permitted by the laws of the State of Florida, and if any portion thereof is held invalid, it is agreed that the remainder shall continue in full legal force and effect. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

I certify that I am the legal parent/guardian with responsibility for this participant (s), and that I have read the foregoing Agreement and do consent and agree to his/her release of all the Released Parties as provided above. I further agree that, for myself, my heirs, assigns, beneficiaries, executors, administrators, personal representatives, and next of kin, I expressly release and agree to indemnify and hold harmless the Released Parties from any and all liability incident to the above Participant’s involvement or participation in BELLEVIEW UNITED related events or activities as provided herein, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES, to the fullest extent permitted by law.

HEADS UP Concussion Waiver

This sheet has information to help protect your children or teens from concussion or other serious brain injury. Use this information at your children or teens’ games and practices to learn how to spot a concussion and what to do if a concussion occurs.

WHAT IS A CONCUSSION?

A concussion is a type of traumatic brain injury—or TBI—caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move quickly back and forth. This fast movement can cause the brain to bounce around or twist in the skull, creating chemical changes in the brain and sometimes stretching and damaging the brain cells.

HOW CAN I HELP KEEP MY CHILDREN OR TEENS SAFE?

Sports are a great way for children and teens to stay healthy and can help them do well in school. To help lower your children or teens’ chances of getting a concussion or other serious brain injury, you should:

● Help create a culture of safety for the team.

● Work with their Coach to teach ways to lower the chances of getting a concussion.

● Talk with your children or teens about concussion and ask if they have concerns about reporting a concussion. Talk with them about their concerns; emphasize the importance of reporting concussions and taking time to recover from one.

● Ensure that they follow their Coach’s rules for safety and the rules of the sport.

● Tell your children or teens that you expect them to practice good sportsmanship at all times.

● When appropriate for the sport or activity, teach your children or teens that they must wear a helmet to lower the chances of the most serious types of brain or head injury. However, there is no “concussion-proof” helmet. So, even with a helmet, it is important for children and teens to avoid hits to the head.

HOW CAN I SPOT A POSSIBLE CONCUSSION?

Children and teens who show or report one or more of the signs and symptoms listed below—or simply say they just “don’t feel right” after a bump, blow, or jolt to the head or body—may have a concussion or other serious brain injury.

Signs Observed by Parents or Coaches

● Appears dazed or stunned.

● Forgets an instruction, is confused about an assignment or position, or is unsure of the game, score, or opponent.

● Moves clumsily.

● Answer questions slowly.

● Loses consciousness (even briefly).

● Shows mood, behavior, or personality changes.

● Can’t recall events prior to or after a hit or fall.

Symptoms Reported by Children and Teens

● Headache or “pressure” in head.

● Nausea or vomiting.

● Balance problems or dizziness, or double or blurry vision.

● Bothered by light or noise.

● Feeling sluggish, hazy, foggy, or groggy.

● Confusion, or concentration or memory problems.

● Just not “feeling right,” or “feeling down.”

Talk with your children and teens about concussion. Tell them to report their concussion symptoms to you and their Coach right away. Some children and teens think concussions aren’t serious or worry that if they report a concussion they will lose their position on the team or look weak. Be sure to remind them that it’s better to miss one game than the whole season.

Concussions affect each child and teen differently. While most children and teens with a concussion feel better within a couple of weeks, some will have symptoms for months or longer. Talk with your children or teens’ health care providers if their concussion symptoms do not go away or if they get worse after they return to their regular activities.

WHAT ARE SOME MORE SERIOUS DANGER SIGNS TO LOOK OUT FOR?

In rare cases, a dangerous collection of blood (hematoma) may form on the brain after a bump, blow, or jolt to the head or body and can squeeze the brain against the skull. Call 9-1-1 or take your child or teen to the emergency department right away if, after a bump, blow, or jolt to the head or body, he or she has one or more of these danger signs:

● One pupil is larger than the other.

● Drowsiness or inability to wake up.

● A headache that gets worse and does not go away.

● Slurred speech, weakness, numbness, or decreased coordination.

● Repeated vomiting or nausea, convulsions or seizures (shaking or twitching).

● Unusual behavior, increased confusion, restlessness, or agitation.

● Loss of consciousness (passed out/knocked out). Even a brief loss of consciousness should be taken seriously.

Children and teens who continue to play while having concussion symptoms or who return to play too soon—while the brain is still healing— have a greater chance of getting another concussion. A repeat concussion that occurs while the brain is still healing from the first injury can be very serious and can affect a child or teen for a lifetime. It can even be fatal.

WHAT SHOULD I DO IF MY CHILD OR TEEN HAS A POSSIBLE CONCUSSION?

As a parent, if you think your child or teen may have a concussion, you should:

Remove your child or teen from play.
Keep your child or teen out of play the day of the injury. Your child or teen should be seen by a health care provider and only return to play with permission from a health care provider who is experienced in evaluating for concussion.
Ask your child’s or teen’s health care provider for written instructions on helping your child or teen return to school. You can give the instructions to your child’s or teen’s school nurse and teacher(s) and return-to-play instructions to the coach and/or athletic trainer.

Do not try to judge the severity of the injury yourself. Only a health care provider should assess a child or teen for a possible concussion. Concussion signs and symptoms often show up soon after the injury. But you may not know how serious the concussion is at rst, and some symptoms may not show up for hours or days. The brain needs time to heal after a concussion. A child’s or teen’s return to school and sports should be a gradual process that is carefully managed and monitored by a healthcare provider.

To learn more, go to https://www.cdc.gov/HeadsUp/

Link Parent/Athlete Information Sheet

Link

Fact Sheet for Athletes

DISCUSS THE RISKS OF CONCUSSION AND OTHER SERIOUS BRAIN INJURY WITH YOUR CHILD OR TEEN AND SIGN BELOW

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