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Home
About
New Member
Hall of Fame
Training
Game Procedures
CVSRA New Member Registration
Administrative Use Only
First Name
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Last Name
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This is where you live
Address
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2nd Address
City
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State
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Zip
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Email
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Confirm Email
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Phone
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Cell Number
(###)
###
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Cell Carrier
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Are You USSF Certified?
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If USSF certified what is your grade?
Grassroots/Regional
If USSF certified what state is your certification in?
Date of Birth
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MM
DD
YYYY
Gender
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Parent's Cell (if under 18)
(###)
###
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Parent's name and relationship if number is provided above
CVSRA assigns regular season matches in Richmond, Chesterfield, Powhatan, Hopewell, Ashland, Mechanicsville, Fredericksburg & Charlottesville. We assign all levels of soccer including youth travel - recreation, adult premier - recreation, youth tournaments, Middle School, High School.
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Check All that you are interested in:
Regular Season Youth and/or Adult Matches
I am at least 16 and want to be considered for Middle School matches.
I am at least 18 and want to be considered for High School matches.
Though not local the CVSRA area, I am interested in working CVSA adult league matches occasionally (excellent for those interested in upgrading)
Tournaments only (Once this registration is processed you will be contacted for specifics)
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I agree to the CVSRA mobile text terms and conditions
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I agree to CVSRA photo and video use terms and conditions available here.
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Protocols can be found at a link on our home page.
I have read and agree with CVSRA Covid-19 Protocol and understand by accepting any assignment I am agreeing to follow the current protocols.
Signature
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This verifies that you agree to read and follow CVSRA policies and procedures and that all information provided is correct.
Within 2 weeks of submission of this form you should be contacted by a CVSRA assignor with information regarding member set up and assigning procedures. If you do not hear from one within 2 weeks, please email Head Assignor, Beth Hatchel, at cvsra.assignor@gmail.com
Thank you!