Franklin Fire Soccer Club 2021 Registration
We are excited about having another year of travel soccer here in Franklin, VA. Franklin Fire Soccer is participating in the Tidewater Advanced Soccer League for the 9th year in a row. We have been very successful and have won several championships. We are offering U13, U15, U17, and U19. We look to give God glory in all that we do on the field. We also look to build strong character in the next generation of athletes. Thanks for being a part of FFSC!
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Parent's Name (First & Last)
Address (Street, City, State, & Zip)
Player's Name (First & Last)
U13 - For players that do not turn 13 before 12/31/21
U15 - For players that do not turn 15 before 12/31/21
U17 - For players that do not turn 17 before 12/31/21
U19 - For players that do not turn 19 before 12/31/21
Pay Now - Click URL below to pay online
Pay Later - Upon arrival
Paying online? Click here to be directed to a separate page to pay. Note: Registration isn't complete until you click submit on this form.
Order Uniforms Here! Click the link below to be directed to a separate page and place your order. Note: Registration isn't complete until you click submit on this form.
*** MEDICAL RELEASE: I, as the adult-age player or the parent/guardian of the registered, minor player, agree to abide by the rules of the Franklin Fire Soccer Club, US Youth Soccer and its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the Franklin Fire Soccer Club and US Youth Soccer accepting the player for its soccer programs and activities, I hereby release, discharge and/or otherwise indemnify the Franklin Fire Soccer Club, US Youth Soccer and its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the program and/or being transported to or from the same, which transportation I hereby authorize. As the adult player or parent/legal guardian of a minor participant in Franklin Fire Soccer Club programs, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of the player. ***IMPORTANT POLICY INFORMATION: *By checking the box below, the registrant, if adult, or the parent/guardian of the registrant, if a minor, attests that he/she has read the important policy information shown below, It is the intent of U.S. Youth Soccer to deny certification to any person who has been convicted of a crime of violence or of a crime against a person. In applying for a U.S. Youth Soccer position, the information which I have furnished as part of this registration is subject to verification, which will include a criminal history check. This disclosure statement must be updated every year. I, the parent/guardian of the registrant, a minor, or adult registrant of legal age, agree that I and the registrant will abide by the rules of the VYSA, its affiliated organizations and sponsors. I understand that my position with VYSA or any of its members is contingent upon my truthful completion and VYSAs or any of its members review of this form. I authorize and understand that VYSA or any of its members will conduct a background check and may obtain a background report and that I may be requested to provide a set of fingerprints. I understand that I may be immediately discharged for any misrepresentation or material omission on this form. I understand that pending arrest or closed arrest is not an automatic bar to consideration of my application, but it is the intent of VYSA or any of its members to deny a position to any person who has been convicted of an offense that VYSA or a VYSA member determines disqualifies that person from providing services to VYSA or a VYSA member. I understand that VYSA or any of its members will take into account the nature of the offense, the date of the offense and the relationship between the offense and the position for which I am applying and any mitigating factors. The above information has been completed and is being submitted by the registrant, if adult, or the parent/guardian of the registrant, if a minor. All information provided above is true and correct to the best of my knowledge.
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