Everett Soccer Summer Registration
This is the registration form for Everett Soccer's Summer Development and Training Program. This is only the contact information, there is no link for payment. A player is not fully registered until a payment is made in the form of Cash or Check issued to Eric Chajon in the amount of $80.
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Player Name *
Your answer
Age Group *
Email *
Your answer
Phone number *
Your answer
By checking the box below, I, the parent/guardian of the registrant, recognize the possibility of physical injury associated with soccer and accept the registrant for its soccer programs and activities. I hereby release, discharge and/or otherwise indemnify the USYSA, and its affiliated organization and sponsors, their employees and associated personnel, including the owners of the fields and facilities utilized for the programs, against any claim or on the behalf of the registrant as a result of the registrant's participation in the programs and/or being transported to or from the same, which transportation I hereby authorize. *
Required
As parent or legal guardian of the above named player, I hereby 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 life, limb, or well being of my dependent. *
Required
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