Parent/guardian information:Name(Required) First Email(Required) Phone(Required)Alternate Phone NumberUsername(Required)Password Strength indicator Address(Required) Street Address City State / Province / Region ZIP / Postal Code Child Information:Child’s full Name(Required) First Last Gender(Required)MaleFemaleDate of Birth(Required) MM slash DD slash YYYY T-shirt size:(Required)Allergies or medical conditions:(Required)Additional notes,special needs:Program class selection:Preferred location: Street Address Class Start Time preference: Hours : Minutes Class End Time Preference: Hours : Minutes Start date: MM slash DD slash YYYY Program level:Consent to Participate(Required) I, the undersigned parent or legal guardian of the above-named participant, give permission for my child to participate in Soccer Champs activities, games, and practices. I understand the nature of the sport and acknowledge the possibility of injury despite proper supervision and coaching. Medical Authorization: In the event of a medical emergency and if I cannot be reached, I authorize Soccer Champs staff and representatives to secure necessary medical treatment for my child. I accept full financial responsibility for any medical care provided. Waiver and release of liability: I release and hold harmless Soccer Champs, its coaches, directors, volunteers, and partner organizations from any and all liability arising from participation in the program, including but not limited to injury, illness, or property damage. This release applies to any transportation provided by the program as well. Media and Photo Release: I grant permission for Soccer Champs to use photos and videos of my child for promotional purposes, including websites, social media, flyers, and advertisements. No names will be used without additional consent. Parent/Player Code of Conduct: I understand that Soccer Champs promotes sportsmanship, teamwork, and respect. I agree to Encourage positive behavior from my child and other participants. Refrain from negative comments toward players, coaches, or officials. Support a safe, inclusive, and enjoyable environment. Parent/Guardian SignaturePayment information:Registration Monthly Subscription: Price: One-time Registration and T-Shirt Fee Price: Total Credit Card CAPTCHA
