FCAD Soccer Registration Form

FCAD Soccer Registration Form
Athlete Information
Is your team a Unified Team

yesno
Team Name*

First NameLast Name
player name*

First NameLast Name
player name*

First NameLast Name
player name*

First NameLast Name
player name*

First NameLast Name
player name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Cell Phone
E-mail*
example@example.com
Soccer Skill Level*

1

2

3

4

5

1 is Begginer, 5 is Advanced
Interested in Volunteering while your team not playing?

Match Referee
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Release of Liability

Although the safety of all sport activities is the primary concern, out door sport activities at Sport Center's facilities may cause injuries and/or death. 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 Sport Center and the persons in charge.
I have read and agree to the above conditions*

YesNo
Confirmation E-mail*
example@example.com
Signature*

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