Elite Athlete Football Club Registration

Elite Athlete Football Club Registration

Please fill out your details to join the team.
Athlete Information
Player Full Name

First NameMiddle NameLast NameSuffix
Player Date of Birth

MonthDayYear
Date
Athlete's Gender
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Player Email Address
example@example.com
Player Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School Currently Attending
Grade Level
Athletic Information
Years of Soccer Experience
Previous Club(s)
Player Preferred Position
Dominant Foot
Athlete Kit Top Size
Athlete Kit Bottom Size
Number Preference
Parent / Guardian (Required if athlete is under 18)
Parent/Guardian Full Name 1

First NameLast Name
Parent/Guardian Phone Number 1
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address 1
example@example.com
Relationship to Athlete
Parent/Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent / Guardian 2 (Required if athlete is under 18)
Parent/Guardian Full Name 2

First NameLast Name
Parent/Guardian Phone Number 2
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address 2
example@example.com
Relationship to Athlete
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact (Required)
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Athlete
Parent/Guardian Emergency Contact Relationship
Athlete's Medical Information
Does the athlete have any medical conditions or allergies?
Does the athlete have any current medications?
Consent & Waivers
Photo / Video Release Policies and Waiver.
Code of Conduct Policies and Waiver.
Concussion Awareness Acknowledge Policies and Waiver.
Refund Policy Acknowledgement Policies and Waiver.
Liability Policies and Waiver.
Signature
Should be Empty:

Elite Athlete Football Club Registration

Athlete Information

Athletic Information

Parent / Guardian (Required if athlete is under 18)

Parent / Guardian 2 (Required if athlete is under 18)

Emergency Contact (Required)

Athlete's Medical Information

Consent & Waivers