Bayou City Lobos Fall 2024 Academy and Goalie Registration

Bayou City Lobos

Academy Training

September 4th - November 20th

Battle Line Sports Texas LLC- 2010 Pech Rd, Houston, TX 77055

Mira Mupier

Technical Director

telephone: 979-331-4010

Priscilla Blossom

Program Manager

telephone: 281-686-8430

Email: bayoucityfclobos@gmail.com

Bayou City Lobos is set to kick off our Goalie and Academy training this Fall, and we're inviting all athletes to join us. Over the course of 12 weeks, we're dedicated to polishing your technical skills and fostering a spirited competition. Tie your laces tight and join us on the field every Wednesday at Battle Line. If you're between 6 and 12 years old, this is your chance to push your limits. And remember, age doesn't define skill; we're always open to exceptions with the coach's approval.

Fee: $425

Wednesdays

5:30pm to 6:30pm

Athlete Information

Player Date of Birth

Date

Player Name

First NameLast Name

Shirt Size

Parent Information

First NameLast Name

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Cell Phone

Area CodePhone Number

E-mail

Soccer skill level

	1	2	3	4	5

1 is Beginner, 5 is Advanced

Please list other players you want to be grouped with. This will be accommodated as best as possible.

Type a question

Important Notes · Cleats, Shin guards and water required for each practice. · No food or drink on the turf. · Keep the facility clean. No pets at Battle Line. · Bayou City FC organizers reserve the right to form the teams to ensure the talents of all teams are balanced. · Invoices will be sent upon completed registration. Family discounts are available.

Emergency Contact & Health Insurance Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Area CodePhone Number

Does you have any allergies, chronic illness, or medical conditions that would limit high level activity?

Please describe

Parental Permission For Emergency Treatment In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to: I give consent for the facility to secure any and all necessary emergency medical care for my child.

Name of Physician / Emergency Medical Care Facility

Phone Number

Area CodePhone Number

Release of Liability Although the safety of all sport activities is the primary concern, soccer activities at Bayou City FC's rented facilities may cause injuries. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the Bayou City FC Lobos, Battle Line Sports TX LLC and the persons in charge.

I have read and agree to the above conditions

Confirmation E-mail

Signature

After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at bayoucityfclobos@gmail.com