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JCCNV United
Soccer Club · Las Vegas
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Register
Registration
Sign up to play.
Complete this form to join the JCCNV United squad. Youth registrations require a parent or guardian.
Player Full Name *
Date of Birth *
Program *
Youth · U6–U8
Youth · U9–U12
Youth · U13–U16
Adult · Open Division (18+)
Adult · Women's Division (18+)
Position Preference
Parent / Guardian Name
Parent / Guardian Email
Parent / Guardian Phone
Player Email (adults)
Player Phone
Home Address
Medical Notes / Allergies
Required Acknowledgements
I have read and agree to the
JCCNV United Parent Handbook
, including player and parent expectations, attendance, safety standards, and match day guidelines. *
I acknowledge the
liability waiver
, understand soccer involves risk of injury, and consent to participate in JCCNV United Soccer Club activities. For minors, a parent / guardian must sign in person before the first practice. *
Submit Registration