Player Registration/Medical Release
Brooklyn Futbol Foundation
 - Future Stars Futbol
Player’s First Name: *
Player’s Last Name: *
Gender *
Address
Street *
Apt/Unit
City *
State *
Zip Code *
Phone Number *
Birthday *
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School Attending/Fall Grade *
Parent Information
Parent Name
Phone Number *
Email *
Parent Name
Phone Number *
Email *
Medical Information
List any medical problems or prohibition player has *
List any allergies *
Medication being taken *
Doctor to notify in emergency *
Phone Number *
I authorize my son/daughter *
to participate in the Youth Academy Program of Brooklyn Futbol Foundation/Future Stars Futbol (BFF/FSF). Recognizing the possibility of physical injury associated with soccer and in consideration for BFF/FSF and its affiliates accepting the registrant for its soccer activities, I hereby release, discharge and/or otherwise indemnify BFF/FSF, its affiliated organizations and sponsors, their coaches, managers, associated personnel, board of directors, including the owner of fields and facilities utilized for the Academy Program, against any legal claim by or on behalf of the registrant’s participation in the Academy Program and/or by being transported to or from the same, which transportation I hereby authorize. My child has received a physical examination by physician and has been found capable of participating in the Academy Program. 

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Required
Date *
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Consent for Medical Treatment (Minor)
As a parent or legal guardian of the above named player, I hereby give my consent of 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 the life, limb or well being of my dependent.
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Date *
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