Soccer 2020
Player Information
- Player Information
*
Child
First Name
*
Child
Last Name
* What Soccer League for Your Child?
Select one
4-6 Years Old
7-9 Years Old
10-12 Years Old
*
Child
Gender
Female
Male
Child
Address
Child
City
Child
State/Province
*
Child
Zip/Postal Code
* Date of Birth
* Tee-Shirt Size (Child/Student)
Select one
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL ($1.00)
Adult 3XL ($1.00)
Adult 4XL ($1.00)
* Contact Phone (include area code)
*
Child
Email
* Current Grade Now
Select one
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
* Name of School
Church You Attend
As a condition of playing sports at Valley View, you recognize there is an inherent risk from participating in sports and sports related activities.
- Rec Wavier
I) The participant, voluntarily & willingly elects to participate in this Valley View Church (VVC) sports activity, does recognize there is always an inherent risk in the participation of sports related activities.
- Rec Wavier
II) Those participating voluntarily assume risk of property, bodily loss, damage, or injury, including death that may sustained by participating in games and all related activities.
- Rec Wavier
III) In consideration of being permitted to participate, the participant releases VVC and its officers, employees, agents, and volunteers:
- Rec Wavier
IV) From any and all actions, caused of action, demands damages, expenses, attorney fees, and claims and the counterclaims of any kind or nature, including claims of negligence, arising out of or in any way connected.
- Rec Wavier
V) This release shall be binding upon the heirs, assigns, successors, executors, and administrators of the undersigned. By registering, the participant certifies that he/she has read and understands this release.
- Rec Wavier
* Recreation Waiver Agreement
Select one
YES
NO
* I grant permission to Valley View Church the right to use, reproduce, and/or distribute media of my child, without compensation, for use in promoting the activities of the church. Do you agree to the above media release?
Select one
Yes
No
* Adult Contact for this Child/Student (Name and Number)
* Adult Contact Relationship for this Child/Student
Mother
Step Mother
Grandmother
Aunt
Father
Step Father
Grandfather
Uncle
Guardian
Other
* Is someone in family interested in Coaching/Assisting?
Select one
Yes
No
Maybe
Notes to VV Recreation Staff
Add Another Child
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