SOLO PLAYER SIGNUP PDL SUMMER SOCCER LEAGUE

SUMMER 2023 PDL SEASON REGISTRATION AND PARTICIPATION WAIVER

SIGNUP TO SECURE YOUR SPOT
Full Name

First NameLast Name
Phone Number*
Format: (000)000-0000.
E-mail*
Field Position

GoalkeeperDefenderMidfielderAttacker
Team Selection

I AM INVITED TO A TEAMI NEED TO BE PLACED IN A TEAM
NAME OF TEAM
IF YOU ARE INVITED TO A TEAM, ENTER THE TEAM NAME HERE
CHOOSE JERSEY SIZE
Are you interested to be a Team Captain?

YESNO
Are you interested in refereeing?

YESNO

LEAGUE SOLO PLAYER SIGNUP$150.00

Includes one game jersey.

Total $0.00

If you were invited to play by a friend please add name here so we can place you in the same team.
AGE CHECK (IF YOU ARE UNDER 18, AN ADDITIONAL WAIVER IS REQUIRED, AND YOU MUST BE AT LEAST 16 TO PLAY IN THIS LEAGUE)*

I AM 18 AND OLDERI AM UNDER 18 BUT OLDER THAN 16
I UNDERSTAND THE LEAGUE FEES ARE NON REFUNDABLE FOR ANY REASONS.*

SELECT
Check the box to acknowledge weather-related issues: Due to severe weather, games might be canceled or rescheduled to a different location/time, and the league will do its best to provide make-up games, but in the event of consistent park closures, we might not able to provide make up games for all matches. Local authorities decide on park closures, and we must follow their guidelines.*

SELECT
Signature*
REVOLVERFC PDL LEAGUE
ONLINE LEAD SOURCE
DESCRIPTION
COMPANY
Should be Empty:

SUMMER 2023 PDL SEASON REGISTRATION AND PARTICIPATION WAIVER