Registration 2018-19

United SC Final Payment 2018-19
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2018-19 Season Registration Form- United SC04

* Indicates required field

Team Selection *

Date of Birth (XX-XX-XXXX) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Cell Phone *

Email *

Emergency Contact *

First

Last

Emergency Contact Phone *

Uniform Information -

Shirt Size *

Requested Jersey Number *

Short Size *

Socks *

Liability/Medical Release

Parents Name *

First

Last

"INJURY WAIVER"
By submitting this registration, I hereby release and discharge United SC, and all coaches, managers, officers and others participating in League and/or Club activities, from all liability for injuries to the above name person and will defend and indemnify them from claims, lawsuits and other liabilities. I hereby give my approval to his/her participation in all club sponsored events which will include but will not be limited to tryouts, practice, tournaments and league participation. Also, it is my understanding that insurance is not covered by this Soccer Club, or the Leagues and/or Tournaments they may enter.

"MEDICAL RELEASE"
By submitting this registration, I hereby give my permission for any medical attention necessary to be administered to my child, in the event of an accident, injury, sickness, etc., during any Norwell Soccer Club event, under the direction of a Norwell Soccer Club representative until I can be contacted. I also hereby assume the responsibility for payment of any such necessary treatment.

By submitting this form you agree to the Injury Waiver and Medical Release *

Agree

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