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Our Lady of the Woods Children's Athletic Ministry Registration Form Soccer 2017
Join Our Lady of the Woods Soccer!!!

- Soccer is open to all 1st - 8th Grade who are registered parishioners and attending our Religious Education Program.

- Please complete the online registration form below by January 31st, 2017.

- Co-Ed Pee Wee Soccer (1st & 2nd Grade) Registration Fee: $100.00

- Girls Soccer (3rd - 8th Grade) Registration Fee: $120 which includes registration fee and new uniform purchase that will be yours to keep! (payment can be made online or by submitting a check to the Parish Office marked OLOW Soccer).

- Boys Soccer (3rd - 8th Grade) Registration Fee: $120 which includes registration fee and new uniform purchase that will be yours to keep! (payment can be made online or by submitting a check to the Parish Office marked OLOW Soccer).

IMPORTANT INFORMATION ABOUT ONLINE PAYMENT: Our Online payment option is new and easy to use. This convenient option will now be available for OLOW Athletics and Religious Education programs. GiveCentral is a web-based donation tool that consolidates all collection, fundraising and communication activities in one place.

After reviewing the steps below, please click this link to pay online:

https://www.givecentral.org/location/388/event/11297

Step 1: Enter $100.00 for Pee Wee player or $120 (3rd-8th Grade) as your amount
Step 2: Check "One-Time" for frequency
Step 3: Select "Add to my Gift Basket"
Step 4: Select dark blue "Checkout" box
Step 5: Select "Continue"
Step 6: If using Give Central site for the 1st time select "Complete Profile" to create your Give Central New User Registration. (If you have a existing Give Central profile, please "Log in" with your Username and Password and select "Log in and confirm gift" to complete payment process.)

First Name:
Your answer
Last Name:
Your answer
Jersey Size
JERSEY SIZES
Short Size
SHORT SIZES
Player's Address
**Please include City and Zip Code**
Your answer
Mother's Name
Your answer
Father's Name
Your answer
Home Phone #
Your answer
Mother Cell Phone #
Your answer
Father's Cell Phone #
Your answer
Mother's Email Address
Your answer
Father's Email Address
Your answer
Player's Birth Date
00/00/0000
Your answer
Players Age
Your answer
Player's Grade
***Grade as of (Fall 2016)
Prior Experience
Your answer
WAIVER AND RELEASE OF ALL CLAIMS FOR PARTICIPATION IN ATHLETIC PROGRAMS
Please read this information carefully and be aware that by clicking on the "yes" check box you will be waiving and releasing all claims for injuries your child might sustain from the sport he/she will be participating in at Our Lady of the Woods (OLOW). I/we hereby certify that the name listed above has my parental/guardianship permission to participate in all sporting activities offered at OLOW. I/we hereby, for ourselves, and on behalf of our heirs, executors, administrators, and assignees ; waive, release, and discard the Catholic Bishop of Chicago, Our Lady of the Woods Parish employees, coaches, volunteers, and any other persons connected with OLOW athletic program from any responsibility or liability for any loses, injury, death, or damage sustained in any activity during or surrounding athletic programming; you are signing this waiver of liability at your own free will. I/we understand that pictures (individual and group) may be taken during sanctioned events. I give permission for my child’s picture be used for promotional materials (church bulletin, newspaper, OLOW facebook page, presentations, etc.) in highlighting a sporting event. I/ we understand that Our Lady of the Woods has no control over the use of photographs or film taken by media or private vendors that may be covering sporting events. I/we agree to return the uniform and all equipment furnished by Our Lady of the Woods promptly upon completion of the season; if the uniform is lost or not returned within a reasonable time you will be responsible for the cost of replacing the uniform or equipment.
Required
Physician's Name
In the event that the authorized physician cannot be reached and there is a necessity for immediate examination and/or treatment of my child or ward , I hereby authorize a staff personnel of Our Lady of the Woods or the Children’s Athletic Ministry Board to obtain medical services as deemed necessary.
Your answer
Physician's Phone #
Your answer
Does your Child Have any Medical Conditions?
Your answer
Is your child ruled in good physical condition to play OLOW sports?
Are you interested in Coaching?
I understand that payment of $100 (Pee Wee) or $120.00 (3rd-8th Grade) is due upon registration. Payments can be submitted online with GiveCentral (link above) or to our Parish Office (cash/check) in envelope marked "Soccer".
Your answer
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