Hmong WI Youth Futbol Soccer Registration Form
Complete the player, parent/guardian, emergency, and medical details, then review and sign the required agreements.
Player Information
Player’s Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Gender
*
Male
Female
T-Shirt/Jersey Size
*
Youth XS
Youth S
Youth M
Youth L
Youth XL
Soccer Experience
No soccer experience is required. Players of all skill levels are welcome!
Has your child played organized soccer before?
*
No, this will be their first experience
Yes, less than 1 year
Yes, 1–2 years
Yes, 3+ years
Current soccer club/team, if applicable
Preferred position, if applicable
Goalkeeper
Defender
Midfielder
Forward
No preference / Not sure
Parent/Guardian Information
Parent/Guardian Full Name
*
First Name
Middle Name
Last Name
Relationship to Player
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Relationship to Player
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Medical & Safety Information
Does your child have any allergies, medical conditions, injuries, or other information that coaches should be aware of?
*
No
Yes
If yes, please explain
Does your child require any accommodations or additional assistance to safely and successfully participate?
*
No
Yes
If yes, please explain
Waiver Agreements
Organizer Note
Player Development
What would you most like your child to gain from this soccer experience? Select all that apply.
*
Learn soccer skills
Build confidence
Make new friends
Have fun
Learn teamwork
Become more active
Develop a passion for soccer
Other
Is there anything else you would like our coaches to know about your child?
Parent/Guardian Agreement
Confirmation Statement
Parent/Guardian Full Name
*
First Name
Middle Name
Last Name
Parent/Guardian Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
For Organizers Only
Registration Received
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age Verified
Yes
No
Pending
Team/Group Assignment
Coach
Notes
Submit Registration
Submit Registration
Should be Empty: