Soccer Registration
Fall soccer for grades K thru 8
First Name
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Last Name
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Grade (as of July 1, 2017)
Birth date
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DD
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Address
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Phone #
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Alternate Phone #
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Parent/Guardian Name(s)
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Parent/Guardian Email
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Emergency Contact (other than parent/guardian)
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Emergency Contact #
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Insurance Carrier & Policy Number
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Medical Information (asthma, allergies, etc)
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My child has my permission to participate in sports with Sutherland School and the Sutherland Athletic Board. I, the participating child's parent/guardian, understand that Sutherland School, the Sutherland Athletic Association, volunteers, coaches, leagues, and playing facilities are in no way legally responsible for any accidental injury to my child. I am responsible for providing transportation to and from games, practices, and tournaments. I will promptly pick up my child from all athletic events. I have read the Guidelines and Responsibilities for Parents and Players and understand The Chicago Board of Education Discipline Code will be enforced.” http://www.sutherlandathletics.org/sports_expectations.html
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