Rockford, IL · Est. 2019 · Academy

Winter 2026 Registration

Filling out this form completes your requirements for team registration, the IYSA emergency medical release and liability waiver, and the media release.

Player 1

Full name *Date of birth *Gender *Shirt size *

Kit *

I have a uniformI need a pair of socksI need a uniform

Jersey numbers will be selected for you.

Allergies Other medical conditions Other sports played Potential winter vacation dates