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Soccer League Registration
Child's Name
*
Enter child's full name.
Child's Gender
*
Male
Female
Child's Date of Birth
*
Select the date.
Last Grade Completed
*
This can be a number
Does your child have any medical or allergy information you need to share?
This is an optional description of the field.
Child's T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Parent/Guardian's Name
*
Enter your full name.
Parent/Guardian's Email
*
Parent/Guardian's Phone Number
Address
Waiver
"By signing this form, I, as the parent/guardian of this registered child, acknowledge that participation in this youth sports camp involves inherent risks, including but not limited to injury. I authorize my child to participate in all camp activities and authorize the camp staff to seek necessary emergency medical treatment in case of injury. I hereby release and hold harmless Christ The King Lutheran Church & School, its staff, and volunteers from any liability for injuries or damages that may occur during the camp, to the fullest extent permitted by law. I understand that I am responsible for any medical expenses incurred."
Waiver Digital Signature
*
Enter your full name to sign
Emergency Contact
*
Enter your contact's name.
Emergency Contact's Phone Number
*
This is an optional description of the field.
Would you like to add a second emergency contact?
Yes
No
Second Emergency Contact
Enter your contact's name and phone number.
One guaranteed sign-up buddy
A friend or sibling you would like your child with. The staff will try to team them together.
Submit
