Registration
The Mena Soccer Association is an organization of volunteers.
The program relies on registration fees, and donations for
support. The success of our soccer program relies on the
commitment and active participation of each soccer family.
* All players must provide and wear shin guards, and rubber cleats
or tennis shoes. No sandals.
TEAM ASSIGNMENT: Random assignments are based on age and grade of player. Core teams
will stay together for both Fall and Spring seasons. Siblings in the same age group will be
assigned together. As will child of coach, all other team assignments will be random.
The following is a breakdown of the leagues:
U6, K-1st Boys/Girls 3 vs. 3 micro-soccer, size 3 ball, small field, no referee.
U8, 1st-2nd Boys/Girls 4 vs. 4 micro-soccer, size 3 ball, small fields, no referee.
U10, 3rd-4th Boys/Girls 8 vs. 8 mod-soccer, size 4 ball, med field, coach referee.
U13, 5th-6th-7th Boys/Girls 11 vs. 11 Regulation Soccer, size 5 ball, coach referee.
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Name __________________________ Going into Grade _____ Boy ___ Girl ___
Address ________________ Phone__________ Other way to contact you __________
Date of birth ______________ Brother or Sister in same age group _______________
Team Color or Coach you played on . ___________________
Fee is $12.00, and uniform will be provided.
My child is joining the Mena Optimist Soccer Program for fun and recreation. I will
not hold the coach or the Mena Optimist club responsible for injuries from such activity.
I will report any injury to the coach and directors of the league immediately for proper
handling Should the team be out of town and I am absent to give the coach or medical facitlity
the right to treat my child for an emergent health needs.
Parents Signature__________________________________________
Anyone able to work with this program in any way please contact David VanWinkle 394-0337
I will Coach ______ I will Help Coach______ I can help Maintain the Fields _______
Return registration to school, Mena Medical Center drop box,or Mail to
David VanWinkle ,601 Maple, Mena AR 71953.