Clinic Registration Form

Princeton High School Girls Soccer Clinic Registration Form

Sunday, October 2 from 9-11am at Princeton High School Turf Field at Guyot Ave between Moore Street and Walnut Lane
Parent Name:*

First NameLast Name
Parent E-mail:*
Parent Contact: *

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Child's Name:*

First NameLast Name
Child's Birthdate:*

MonthDayYear
Child's Grade:*
In case of emergency...
Emergency Contact:*

First NameLast Name
Relationship*
Contact Number*

Area CodePhone Number
Permission and Acknowledgement of Athletic Policies
I hereby give permission to my child to compete in sport, sponsored by Princeton High School and the Princeton High School Girls Soccer Booster Club and under the supervision of approved instructor.Realizing that such an activity involves the potential for injury that is inherent in all sports.I/We acknowledge that even with proper coaching, use of protective equipment, and observances of rules, injuries are still a possibility.On occasion, these injuries can be so severe as to result in total disability, paralysis, or even death.I/We acknowledge that I/We have read and understand this warning.
I hereby give permission for the school to arrange emergency treatment for my child if none of the above adults can be reached.
For emergency situations: Please list below, for the athletic department, any known allergies, medical conditions, pertinent medical diagnosis (acute or chronic) and current medications.*
Athletic Acknowledgement & Consent Form
Click to reveiw and download forms:

2022-23 Princeton Public School Covid -19 Waiver

Sports-Related Concussion and Head Injury

Sudden Cardiac Death in Young Athletes

Sports-Related Eye Injury

Positive Sports Parenting
We acknowledge and have read and review the Princeton Public School COVID-19 Waiver.
We have received and reviewed the N.J.S.I.A.A. concussion policy acknowledgment form and understand the facts, signs and symptoms of a concussion, as well as the basic guidelines for the concussion management protocol.
We have received and reviewed the sudden cardiac death in young athlete’s pamphlet and understand the basic facts of sudden cardiac death in young athletes.We are also aware of additional resources available on this subject from the American Heart Association www.heart.org/ and the Hypertrophic Cardiomyopathy Association www.4hcm.org.
We have received and reviewed the New Jersey Department of Education Fact Sheet for Parents on Sports-Related Eye Injuries in Youth Sports
We have reviewed the “Positive Sports Parenting” rules and will make every effort to work collaboratively with the PHS athletic department to do what is best for our student-athlete.
By typing my full name in the box below, I am signing this Agreement electronically. I agree my electronic signature is the legal equivalent of my manual signature on this Agreement. I consent to be legally bound by this Agreement's terms and conditions.
Parent-Guardian's Electronic Signature: **
When you submit the form you will be directed to Venmo. Please login to your account and submit payment to @jamiehoweshoward.

Payment will not be accepted at the clinic and please identify the child in payment notes. Attendees should come dressed for the weather with shin guards and cleats, if they have them; otherwise, wear sneakers. Everyone must bring a water bottle."
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Princeton High School Girls Soccer Clinic Registration Form

Permission and Acknowledgement of Athletic Policies

Athletic Acknowledgement & Consent Form

When you submit the form you will be directed to Venmo. Please login to your account and submit payment to @jamiehoweshoward.