Registration

DYES Youth Registration

One form for Dixon FC soccer, Dixon Basketball, or both. It takes about 10 minutes and works on your phone.

ChooseSoccer, basketball or both.
RegisterComplete the form below.
ConfirmWe confirm a spot, or add your child to the waitlist.
PlayJoin weekly sessions.

Limited spaces. Each program and age group has limited capacity. If your child’s group is full, they’ll be placed on the waitlist for that activity and we’ll contact you when a spot opens.

Questions about fees or payment? Read the FAQ, or contact us confidentially. Prefer a paper form? Email dixonfc2010@gmail.com and we’ll send you the PDF registration form.

1 Choose a program

Dixon FC · SoccerMondays · ages U7–U15 Dixon BasketballWednesdays · ages U10–U15 BothSoccer and basketball

Spaces are limited in each age group. If a group is full, your child joins the waitlist for that activity.

2 Child information

First name Last name Date of birth We use this to place your child in the right age group. Gender School (optional) Experience in the chosen sport(s) T-shirt or jersey size

3 Parent or guardian

Full name Relationship to child Email Phone Street address City Postal code Preferred language for contact (optional)

4 Emergency contact

Someone other than the parent above, if possible.

Full name Relationship to child Phone

5 Health information

This helps our coaches and volunteers keep your child safe. Write “None” if nothing applies.

Allergies Medical conditions (for example asthma, diabetes, past injuries) Medications, including inhalers or EpiPens

6 Fees and payment

The registration fee is $300 per child for the October to June season (soccer, basketball or both). Summer is free. We’ll confirm your child’s spot and payment details by email.

I’d like DYES to contact me confidentially about payment arrangements or financial assistance. (optional)

7 Agreements

I understand that sports and physical activities involve a risk of injury, and I give permission for my child to take part in DYES programs, games and events. In an emergency, if I can’t be reached, I give permission for DYES staff and volunteers to get medical treatment for my child. My child and I agree to follow the DYES code of conduct and show respect to coaches, volunteers, teammates and opponents. The information on this form is correct, and I’ll tell DYES if anything changes.

May DYES use photos or videos of your child on our website and social media?

Yes No

Parent or guardian signature (type your full name) Date

Your information is sent only to DYES and used only to run our programs. See our privacy policy.

DYES Youth Registration

Registration sent