San Pedro Community Soccer Clinic Registration Form

San Pedro Community Soccer Clinic Registration Form

Please fill out and sign the form at the bottom.
Player Information
Full Name

First NameLast Name
Child's Age
Parent or Guardian Information

Full Name

Relationship to Child

City

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
Important

I, or the parent/guardian of the registrant if the registrant is a minor, agree that I and the registrant will follow all rules and guidelines established by the San Pedro BID, its affiliated organizations, and sponsors. Recognizing the possibility of physical injury, I hereby release, discharge, and hold harmless the San Pedro BID, its affiliated organizations and sponsors, their employees, representatives, and associated personnel—including the owners of any fields or facilities used for the programs—from any and all claims, liabilities, or demands arising from the registrant’s participation in the programs.
Signature
Should be Empty:

Important