2012/2013 VYSA
Academy Identification Form
Spring 2013

For players born in 2001, 2002 and 2003
the Academy is designed for all players.

Virginia Youth Soccer Association
5450 Southpoint Plaza Way
Fredericksburg, VA 22407
Phone: 540-693-1430
Fax: 540-693-1440
E-mail: Linda@vysa.com
Regular Fee Schedule
ProgramAge Group(s)Birth YearIdentification
Fee
Academy2003 Boys & Girls2003$30.00
Academy2002 Boys & Girls2002$30.00
Academy2001 Boys & Girls2001$30.00

In order to successfully complete registration you must:

1) Complete all requested information for each player.
2) Complete the online payment transaction Registrant has ability to pay by Visa, MasterCard or Mail-In Check.
Payment for all mail-in check registrations must be received by the State Office 2 days prior to the identification.
Registrations for which payment has not been received on time will be deleted.
3) Print the Certificate of Registration page if you pay by Visa or MasterCard or print the Certificate of Intent to Register page if you pay by Mail-In Check.

YOUR REGISTRATION IS NOT COMPLETE UNTIL YOU HAVE
A VALID CERTIFICATE OF REGISTRATION


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NOTE: Always keep your operating system and browser updated to the latest version available to minimize security risks and improve the operation of your computer.
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NOTE: Some older browsers work but they may create a security risk and/or corrupt the data you submit.