• Rally Sport Registration Form

    Rally Sport Soccer - Saturday, March 26 - 8:30 AM - 11:30 AM- Restoration Academy- 4600 Carnegie Avenue, Fairfield, AL 35064 August - Basketball, September and October - Baseball, November and December - Volleyball, January - Golf, February - Football, March - Soccer, April - Football, May - Basketball, June - Golf, July - Soccer
  • Participant's Information

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    Pick a Date
  • Benefiting the ZeroZero Foundation
  • Parent's/Guardian's Information

    Only the parent/guardian or emergency contact will be able to pick up the participant. You will be required to show valid photo identification in order to pick up the participant.
  • Parent/Guardian #1

  • Parent/Guardian #2

  • Benefiting the ZeroZero Foundation
  • Emergency Contacts/Authorized Pickup

    Parent/guardian cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be able to take responsibility for the child in case the parent/guardian cannot be reached. Only the parent/guardian or emergency contact will be able to pick up the participant. You will be required to show valid photo identification in order to pick up the participant.
  • Emergency Contact #1

  • Emergency Contact #2

  • Benefiting the ZeroZero Foundation
  • Health Insurance

  • Benefiting the ZeroZero Foundation
  • Statement of Understanding

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    Pick a Date
  • Benefiting the ZeroZero Foundation
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