SJAA Winter Indoor Soccer Registration 2018-Session 2
Please complete the form for each child.
Child's First Name *
Your answer
Child's Last Name *
Your answer
Sex *
Date of Birth *
(month / day / year)
Your answer
Please select the grade your child is in: *
What is the name of the St. Joe Fullerton head coach your child is playing for in Session 1? *
Please type N/A if you are not currently playing for St. Joe Fullerton Fall Soccer.
Your answer
What school does your child attend? *
Required
Will your child reuse her/his uniform from the fall season? *
I need to order a new uniform below is my choice for size and I understand that this will be an additional cost of $60.
Skip if you don't need a uniform. For those that do need a uniform please type the size needed in the space below.
Your answer
Uniform Size
If you answered "No" above please answer this question! Please skip this question if your answer above was "Yes."
Privacy Legal Statement *
I give my permission for my child to participate in the St. Joseph Athletic Programs. I will not hold members of the St. Joseph Athletic Association, managers, assistant managers, or officials responsible for accidental injuries that may occur from participation in this program. The above information may be provided to SJAA coaches, SJAA administrators, and the St. Joe Youth Minister.
Required
Email *
Your answer
Confirm Email *
Your answer
Address *
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Home Phone *
(xxx) xxx-xxxx
Your answer
Cell Phone *
(xxx) xxx-xxxx
Your answer
In what capacity are you willing to volunteer?
Are you STAND / Shield certified? *
What is the date of your STAND / Shield Certification? *
Your answer
Parent First Name *
Your answer
Parent Last Name *
Your answer
Comments / Requests...
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms