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Player First and Last Name *
Gender *
Birthdate *
Jersey size *
Guardian First and Last Name *
Street *
Town *
State *
Zip Code *
Email *
Cell Phone *
1. Emergency Contact Name *
1. Phone *
2. Emergency Contact Name *
2. Phone *

Registration Fee & Inclusions

We (I) the parent(s) of the above-named player, agree to pay the $120 (+4% if using PayPal) per player fee for the Spring Soccer Registration Fee. Program will include 20 sessions, held twice a week on Mondays and Wednesdays on the field on 50 Spring Street, Wallington, NJ.
The groups' assignment will be announced approximately two days before the first session. It will depend on the number of children registered.
The fee can be paid by PayPal (link at scvistula.soccer) with additional 4% handling fee ($124.8), or mailed by check to SC Vistula Garfield – 73 Main Ave, Garfield, NJ 07026. Payment had to be received 48 hours from the registration. No cash payments allowed. No payments on the field allowed. Payment can also be made by CashApp ($SCVistulasoccerplex). 

Registration Fee & Inclusions
Parent Initials

Player / Parent Conduct / Liability Waiver

We (I) the parent(s) of the above-named player, hereby give our (my) approval for said player to participate in any and all activities of the program by the SC Vistula Soccer Club during the current season. I certify that the above named player is in good physical and mental health, and that no physician has advised against said player's participation in any active program during this current season. We (I) assume all risks and hazards incidental to such participation and we (I) hereby waive, release, absolve, and agree to indemnify and hold blameless the Vistula Soccer Club and all individuals associated with or aiding it in any manner for any claims arising from any such activities, including transportation to and from games, except to the extent and in the amount covered by any medical, accident, and/or liability insurance maintained by or for the Vistula Soccer Club.

Player / Parent Conduct / Liability Waiver
Parent Initials
Thank you for your interest. 
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