2019 Fall CLW Youth Soccer
the dates are ..
Player information
Name of the player *
First and Last name.
Your answer
Gender *
Date of Birth *
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T-shirt size *
(Registration fee includes a Team T-Shirt)
PLAYER REQUEST
You can only request to be with one (1) other player . Both players must be about the same age and must request each other in writing. A request or change may not be allowed on or after the first day of soccer.
Your answer
Number of seasons player has played Soccer *
Weight
Your answer
Players Full Name *
Your answer
Eye color
Your answer
Hair color
Your answer
Height
Your answer
Name of insurance company
Your answer
Other health considerations *
Your answer
Parent/Guardian Information
Are parents or guardians coaching?
We are always looking for more coaches. (coaches form must be submitted)
Parent/Guardians Full Name *
Your answer
Relation to player *
Required
Cell #
Your answer
Home phone #
Your answer
Work/Emergency #
Your answer
Email address *
Your answer
How May we Contact You this Season? *
Select all that apply.
Required
Mailing address *
Your answer
City *
Your answer
Zip *
Your answer
Would you like to be added to the CLW newsletter *
Required
The parent / guardian submitting this form has legal custody of the child and will be responsible for payment of fees incurred by the Player. *
Camp Living Water may obtain emergency medical treatment for your child if necessary. *
You (the parent or guardian) give Camp Living Water the right to use any photos or videos taken of your child while at camp, to be used for any advertising or promotion of Camp Living Water to generate a positive atmosphere. *
If your child violates any rules of Camp Living Water, he/she may be required to leave immediately. In such case, the parent/guardian agrees to pick up your child as early as possible. *
How will you pay your players Membership dues? *
$50 membership due for every player. If you register with a paper form, your payment is due with the registration form by the registration deadline (Feb 28th). If you register online, you can pay your membership dues by swinging by the office during registration days (Feb 26th, 27th, 28th). or you can mail a check to Camp Living Water. Or you can pay, on the First day of soccer before practice. This only applies to Online registration. If you are a coach or receive any other discount or promotion specify it in the other box. Our address is 1510 W Deep Creek RD. Bryson City NC 28713.
Writing my name signifies that I have filled out the form accurately to the best of my knowledge and that I agree to the terms and conditions given. *
Write full legal name.
Your answer
Date of this agreement. *
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