U.T. Challenger Sports 2019 Fall Soccer Player Registration
Player's First Name *
Your answer
Player's Last Name *
Your answer
Male or Female *
Age. Range 5 and up *
Must be in Kindergarten and up
Your answer
Grade *
Your answer
School *
Your answer
Please indicate shirt size of player *
Parent/Guardian First and Last Name *
Your answer
*
A Parent or Guardian must be present at game/practice
Required
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home telephone number *
Your answer
Mobile Telephone number *
Your answer
E-mail Address. Please add all email addresses if more then one. Please indicate if none available *
Your answer
Please list the player's diagnoses and/or special needs so we can do our best to accomodate. Please list medical conditions that we should be aware of *
Your answer
Please indicate if the player needs any assitive devices such as wheelchair, braces, walker, etc. *
Your answer
Cost for soccer is $10. Please make check payable to UT Challenger Sports and mail to 4 Crestview Dr, Seaville, NJ 08230 by 09/05/2019 *
Soccer schedule I plan on playing 9/15 - 9/22 - 10/06 - 10/20 - 10/27 - 11/03 *
Skip 09/29 or car show at Amanda's Field and 10/13 for Columbus Day Weekend
Required
I/We give permission for my son/daughter to participate in the Upper Township Challenger Sports Program. If my son/daughter is over the age of 18, I represent that I have legal authority to sign on their behalf. I/We agree to return equipment issued to my child in good condition as when received, except for normal wear and tear. I/We assume all risk of injury due to participation in this sport and release the Township of Upper, Upper Township Challenger Sports, LLC and its coaches and volunteers for any liability in this regard. I/We give permission to Upper Township Challenger Sports and Township of Upper to display my son’s/daughter’s photo. *
Required
Volunteers Needed. The UT Challenger Sports Program Needs Your Help. I Can Be A
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