Online Registration for Andro United Youth Soccer

Registration for our 2027 Winter Sessions is open!

Age Division 1 will be a skills & drills style practice each week, with lots of skill/confidence building and occasional small-sided scrimmages. Each player in Age Division 1 will receive the same color T-shirt, and we’ll break up into groups each week as necessary to progress through stations. This is slightly different from how our older divisions have dedicated teams and alternate practice weeks and game weeks. We recognize this could be disappointing for players who have watched older siblings. However, we are excited that we’re growing our program, and I am confident that our youngest group will thrive and enjoy themselves.

Refund Policy: A full refund will be granted if a request is made to [email protected] three weeks before the session begins. The refund deadline for Session 1 is 11:59pm, Friday December 18. The refund deadline for Session 2 is 11:59pm, Friday February 12. Refunds are not available after these deadlines.

Online Registration 2027

Phone

This field is for validation purposes and should be left unchanged.

PLAYER'S INFORMATION

Players Name(Required)

First Last

Player's Date of Birth(Required)

Only players with birth years between 2008 and 2018 can be registered.

Age Division(Required)

Please select the appropriate division based on the player's age. (As a rec-level league there is no playing up or down based on skill level).

Division 1: Birth year of 2019 or 2018

Division 2: Birth year of 2017 or 2016

Division 3: Birth year of 2015, 2014 or 2013

High School Boys: Birth year of 2012, 2011, 2010 or 2009

High School Girls: Birth year of 2012, 2011, 2010 or 2009

Session Registering For(Required)

Both Sessions 1 & 2

Session 1: Saturdays, January 9 - February 20

Session 2: Saturdays, March 6- April 17, 2026

This field is hidden when viewing the form

Session Registering For(Required)

At this time only Session 2 is available for the selected Age Division in the question above.

Session 2: Saturdays, March 7 - April 18, 2026

Player's Gender(Required)

Female

Male

Players Address(Required)

Street Address Address Line 2 City State ZIP Code

Players Email (typically only used for our high school aged players)

Shirt Size(Required)

Select the appropriate size shirt for the player. Shirts are cotton and tend to shrink a little after washing/drying.

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult X-Large

Goalkeeping(Required)

Is the player interested in playing in goal? Coaches will ask for goalkeeping volunteers each week. This question just allows us to identify players who enjoy playing goalkeeper in an effort to avoid having 4 goalkeepers randomly placed on a single team, and no goalkeepers on another team.

Yes

Terms of Agreement

Club Name: Andro United
City: Leeds
State: ME
League Name: Androscoggin Youth Indoor Soccer

I hereby consent to the above-named club registering me with US Club Soccer. I understand that I may be registered to only one US Club Soccer member club at any time.

Note: it will not be necessary to complete this form again as long as the player is with this club, which will hold this form unless requested by US Club Soccer.

Do you agree to the terms of agreement?(Required)

Yes

PARENT OR GUARDIAN'S INFORMATION

Parent or Guardian's Full Name(Required)

First Last

Parent or Guardian's Phone Number(Required)

Parent or Guardian's Email(Required)

Parent or Guardian's Address(Required)

Used for credit card billing purposes.

Street Address Address Line 2 City State ZIP Code

Additional Parent or Guardian's Full Name

First Last

Additional Parent or Guardian's Phone Number

Additional Parent or Guardian's Email

EMERGENCY CONTACTS

Emergency Contact Person #1(Required)

First Last

Emergency Contact Phone #1(Required)

Emergency Contact Person #2

First Last

Emergency Contact Phone #2

MEDICAL & MEDIA INFORMATION

Please list player allergies(Required)

Please list other medical conditions(Required)

Physician's Name(Required)

First Last

Physician's Phone(Required)

Preferred Hospital(Required)

Medical/Hospital Insurance Company

Medical/Hospital Insurance Company Phone

Policy Holder's Name

First Last

Medical Agreement

I hereby give my consent to have an athletic trainer, coach, team manager, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the applicant/participant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I understand treatment for injury will be based on information provided herein. I hereby authorize emergency transportation of the applicant/participant to a medical treatment facility should an individual listed above consider it to be warranted. I recognize the possibility of physical injury associated with soccer, and hereby release, discharge, and otherwise indemnify the club, US Club Soccer, their sponsors, the USSF and its affiliated organizations, and the employees and associated personnel of these organizations, against any claim by or on behalf of the soccer player named above as a result of that player’s participation in US Club Soccer programs and/or being transported to or from the same, which transportation I hereby authorize.

Do you consent to the Medical Agreement?(Required)

Yes

Media Agreement

I hereby give my consent and consent on behalf of my child to be photographed/filmed while participating in Andro United run events and to use such photographs/footage for any purpose, including promotional advertising.

Do you agree to the Media Agreement?(Required)

Yes

Digital Signature(Required)

Please type your full name to be used as a digital signature.

Today's Date(Required)

Relation to Player(Required)

Mother

Father

Guardian

IMPORTANT!!!

Please select the correct session you will be paying for below.

Credit or Debit Card(Required)

Card Details

Cardholder Name

Total

Untitled

First Choice

Second Choice

Third Choice

Untitled

First Choice

Second Choice

Third Choice