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SportsPleX
Dayton's BEST Indoor Soccer

Team Registration Form

Fill out this form completely, then press the "Submit Registration" button below.

Deposits (Non-Refundable) Required: $200
Please Note: Your registration is not valid until a $200 deposit is received by SportsPleX.

The team registration deposit may be charged to the credit card with a convenience fee of $10. If the team deposit is not received prior to the session registration deadline, the credit card will be charged the $200 + $10 convenience fee to validate the registration so the team may be scheduled.

Payment arrangements can be made by contacting SportsPleX at 937.878.7270.

Team Information
Select Session
Primary Contact Information
Alternate Contact Information
Payment Information
How Would You Like to Pay for this Registration?
Please charge my Credit Card the League Deposit $200.00 + $10.00   Convenience/Service Fee
Please charge my Credit Card the Full League Fee + $30.00   Convenience/Service Fee
Session Fee: $
Convenience/Service Fee: $
Total Fee: $
Amount Paying Now: $
Credit Card Information
Credit Card information must be entered in order to register. Your card will only be charged if you selected to charge the credit card above. If full payment has not been received by the identified Full Payment Due Date Date Goes Here published on the SportsPleX website, the credit card will be charged for the payment due as well as a late fee of $35.00.
Type of Credit Card:
Visa Master Card Discover
Credit Card Number: (Do not enter spaces or dashes.)
Expiration Date:
/
Card Holder Name:
Card Holder Address: (Street/House # only
Card Holder Zip:
CSV Code (on back of card):

SportsPleX – Referee Payment System


In addition to your team fees all teams are responsible for paying the referees before each game can begin. Prior to each game your team’s coach, captain or representative will make direct payment to the game’s assigned referee. The referee will not start a game until payment is received from both teams. To ensure the referee’s payment, in the case of a forfeit or no show, the credit card on file required with every team registration will be charged the referee fee for both teams. Each team is required to pay the referee cash per game ($10 Youth Divisions/$15 HS & Adult Divisions) . In the case of a forfeit or no show, the forfeiting team will be charged $20/$30. Cash payments only are accepted and no prepayments are permitted. An ATM is available on-site if needed. 

Ohio Concussion Law


As the Primary Contact for the above team, I will follow in accordance with SportsPleX policies regarding Ohio's Concussion Law. A Parent or Legal Guardian of players under age 19 on the above team will be required to fill out the Online Roster which includes the Ohio Department of Health Concussion Sheet for Youth Organizations as well as the Release of Liability and Assumption of Risk Form, before they will be permitted to participate in any activity at SportsPleX. The coach of the above team will be required to successfully complete the online training program in recognizing the signs and symptoms of concussions and head injuries provided by the Ohio Department of Health. Directions for the Online Team Roster Form will be Emailed to the Primary Contact after submittal of the registration form.


 

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