Winter 2026 Soccer Registration Form

Player Information

Player's Name*

First NameLast Name

Parent/Guardian E-mail*

example@example.com

Parent/Guardian Name*

First NameLast Name

Emergency Contact Number*

Player's Age*

Player's Age Group*

4-67-910-13

Player's Date of Birth*

Date

Gender*

Player's School*

Jersey Size. Jerseys will be distributed on Opening Day. Colors and style may vary.*

Socks Size. Jerseys will be distributed on Opening Day. Colors and style may vary.*

Player Skill Level*

Preferred Jersey Number (1-99)

If your player has a desired jersey number please enter above. (Numbers 1-99) Numbers are assigned on a first-come, first-served basis and not guaranteed.

If you would like your child to be on the same team as another player, please list their first and last name.

If you would like your child to be on the same team as a certain coach, please list their first and last name.

If your child has any health conditions or allergies, please list below.

Parents/Guardians interested in volunteering as a Coach or Referee, please provide Full Name, Phone Number and Email below.

Release of Liability

I have read and agree to the conditions above.

RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT FOR COMMUNICABLE DISEASES, INFECTIOUS DISEASES AND/OR TRANSMITTABLE DISEASES INCLUDING, BUT NOT LIMITED TO, INFLUENZA AND COVID-19

*In consideration of being allowed to participate in Ovrtime Sports athletic programming and related events and activities, the agreeing party acknowledges, appreciates, and agrees that: Participation in Ovrtime Sports consists of involvement in group activities, which involvement includes possible exposure to, and illness resulting from, communicable diseases, infectious diseases and/or transmittable diseases including, but not limited to, influenza and COVID-19;While following social distancing and similar rules, as well as exercising personal discipline, may reduce this risk, the risk of serious illness, injury, disability, and death from such diseases (including, but not limited to, influenza and COVID-19) does exist; By participating in Ovrtime Sports, I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the Releasees (defined below) or others, and assume full responsibility for my participation or the participation of my minor child/ward, including as it relates to any diseases, including but not limited to, influenza and COVID-19; I willingly agree to comply with the stated and customary rules, terms and conditions for participation, including in regards to protection against communicable, infectious and/or transmittable diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of Ovrtime Sports immediately; and, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Ovrtime Sports, its officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct any and all activities of Ovrtime Sports (“Releasees”), with respect to any and all illness, injury, disability, death, or loss or damage to person or property, whether arising from the negligence of Releasees or otherwise, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND AGREE TO IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Photo Release

*For good and valuable consideration, I hereby grant Overtime Sports permission to use likeness of my myself and the participating player in a photograph in any and all of its publications, including but not limited to all of Ovrtime Sports printed and digital publications. I understand and agree that any photograph using the participating player's likeness will become property of Ovrtime Sports and will not be returned. Images will not be resold or reused for any use other than Ovrtime Sports. I acknowledge that since my participation with Ovrtime Sports is voluntary, I will receive no financial compensation. I hereby irrevocably authorize Ovrtime Sports to edit, copy, exhibit, publish or distribute this photo for purposes of publicizing Ovrtime Sports programs or for any other related, lawful purpose. In addition, I waive the right to inspect or approve the finished product including written or electronic copy, wherein the particpating palyer's likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph. I hereby hold harmless and release and forever discharge Ovrtime Sports from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I have read and agree to the conditions above.

Registration fees are non-refundable.*

I understand and agree to this term

7 Week Program Selection*

Winter Soccer SeasonFINAL DAY 12/13 (Registration closes sooner if spots fill)

$199.00

Enter coupon

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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