CHILD'S LAST NAME FIRST NAME AGE BOY/GIRL BIRTHDATE
HOMEROOM TEACHER'S NAME GRADE SCHOOL
PARENT'S NAME HOME PHONE CELL PHONE
MAILING ADDRESS TOWN EMAIL ADDRESS
EMERGENCY CONTACT PERSON EMERGENCY PHONE NUMBER
Will you help coach a team on Tuesdays and Thursday evenings at 6 p.m.
Do you know a company or individual who would like to sponsor a team? ($150 per team)
I understand that soccer is a contact sport and that injuries can and do occur. In the 2014 high school state
championship game, one of our opponents had to be rushed to a hospital after our hard-playing, football-trained
Tiger soccer players defended in the traditions seen in this year's World Cup in which injuries also occurred. I hereby attest:
1) That I am this child's legal guardian and have the authority to grant this permission.
2) That my child is physically able to play soccer and has my permission to do so.
3) That in the event of my child's injury, permission is granted to give my child emergency treatment
4) That I hereby hold completely blameless the volunteers, coaches, referees, helpers and administrators of this
program and that I will be responsible for any medical treatment required by my child in the event of mishap .
You can pay on-line here $10 registration for children of Tyson employees
$35 registration $25 discounted registration for coach's child
$10 additional child $5 coach's additional child registration
$0 (full scholarship) for children living in Kerby rental properties
If you do not wish to pay on-line, bring your registration to the first practice.
IMPORTANT: Complete your child's registration by clicking below