Registration for Walk Soccer

Schedule

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Todays Date

Women O55/60 Scrimmages

10-game Summer Season Starting on June 8, 2026, and ending on August 31, 2026

$110.00 Quantity

Drop In Fee

Drop-In fee. Select the date

$15.00 DateQuantity

Enter coupon

Total

Payment Methods

Credit Card

Apple Pay

Google Pay

Liability Release

•	In consideration of being allowed to participate in any way in the program, related events, and activities, I, the undersigned acknowledge and agree that:&#13;&#10;&#13;&#10;1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death.&#13;&#10;&#13;&#10;2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation.&#13;&#10;&#13;&#10;3. I willingly agree to comply with the terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.&#13;&#10;&#13;&#10;4. I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE Stay Fit Soccer and Walk Soccer Club, its officers, officials, agents, and/or employees, other participants, sponsors, advertisers, and owners/lessors of premises used to conduct the event (RELEASES) from any/all claims, demands, losses, and liability arising&#13;&#10;out of or related to any INJURY, DISABILITY, OR DEATH I may suffer, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.&#13;&#10;&#13;&#10;I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISKS AGREEMENT. I FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND I SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.&#13;&#10;&#13;&#10;

Stay Fit Soccer Emergency Care and Information

I agree that in case If, at any time, due to such circumstances as an injury or sudden illness, medical treatment is necessary, I authorize the team managers to take whatever emergency measures they deem necessary and I understand that this may involve contacting an emergency services and transporting me to a hospital or doctor’s office, including the possible use of an ambulance. &#13;&#10;&#13;&#10;&#13;&#10;

Signature

(Optional) Emergency Contact Name

First NameLast Name

(Optional) Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Registration for Women Soccer Over 55/60

*

Payment Methods