TOYC SOCCER FALL 2024 (GRADES 4-6)

TOYC SOCCER FALL 2024 (GRADES 4-6)
Child Name*
Current Grade*
Date of Birth*

MonthDayYear
Date
Age*
Jersey Size:*

YSYMYlYXLASAMAlAXL
Parent Name*
Parent Name*
Text?*

YesNo
Phone Number*
Alternate #*
Email*
example@example.com
Home Address*
Medical Conditions or Allergies:*
I give permission for Type a label* to receive emergency medical treatment administered by coaches or Youth Commission volunteers.
In an emergency, if I the parent or guardian can't be reached, please contact:
Name*
Phone*
Parent / Guardian Signature*

Clear
Date*

MonthDayYear
Date
I agree to return all equipment/uniforms issued to my child. I understand that I am responsible for repairing or replacing the equipment/uniforms if it is damaged, lost or stolen while in my possession. I understand that uniforms are property of TOYC.
Parent / Guardian Signature*

Clear
Date*

MonthDayYear
Date
I hereby grant TOYC permission to take and use photographs of my child in any and all of its publications and in any and all other media.
Parent / Guardian Signature*

Clear
Date*

MonthDayYear
Date
Additional information/special request
I would be interesting in coaching and/or helping*

YesNo
Should be Empty: