Riverside Youth Soccer
Recreational & Travel Leagues

League Registration

Fall
2026
Player
Mateo Diaz
04/12/2014
3
Riverside Elementary
Division & team
U6 U8 U10 U12 U14
Place with Coach Alvarez / the Strikers
YS YM YL AS AM
Parent / guardian
Elena Diaz
(555) 712-0934
Medical & emergency
Mild asthma — carries an inhaler. No known allergies.
Raul Diaz (uncle)
(555) 712-4471
Dr. Karen Patel — Riverside Pediatrics
(555) 330-8800
Code of conduct & waiver

Concussion, liability & conduct acknowledgment

I understand that participation in soccer involves the risk of injury, including the risk of concussion and other serious injury. I have reviewed the league's concussion information sheet and agree that my child will be removed from play and evaluated if a concussion is suspected, returning only with written medical clearance.

I release Riverside Youth Soccer, its coaches, officials, and volunteers from liability for injuries sustained during normal participation, except in cases of gross negligence, and I authorize league staff to obtain emergency medical care for my child if I cannot be reached. My child and I agree to abide by the league's Code of Conduct for players, parents, and spectators.

I have read and agree to the concussion information, liability release, and Code of Conduct above.
Elena Diaz
Parent / guardian signature
June 18, 2026
Date

Riverside Youth Soccer · [email protected] · Registration fee due at sign-up; financial aid available on request.