Fall 2024 Soccer Registration
Please fill out one form per participant
Email *
Adult Name *
Adult Phone Number *
Adult Email Address *
Child's Name *
Child's Age (as of 9/1/24) *
Has the child played soccer before? *
Allergies or other medical concerns? If none, please write "NONE" *
Any other important information? If none, please write "NONE" *
Parent Release -I, the parent/guardian of the minor child listed on the application, for ourselves, our heirs,
executors and administrators, hereby release, waive, acquit and forever discharge South Boston Soccer League and their
representatives, successors, insurers, assigns or any other person or entity associated with any of the
above Organizations such as staff, directors or volunteers, from all liability, claims, demands, or causes of
action for any and all loss, damage, injury or death and any claim of damages resulting from use of facilities
owned or controlled by the above organizations, or participation in activities of said organizations either at or
away from the site. In the event of injury, or should emergency care be required and I cannot be
reached, I authorize South Boston Soccer League staff to arrange for emergency medical attention for the minor child listed on
the application.
 *
Required
Medical -In the event of injury, or should emergency care be required and I cannot be reached, I authorize
staff from South Boston Soccer League to sign for emergency medical attention for my child
Release and Covenant Not to Sue: In consideration for allowing my child to participate in activities
provided, hosted, or sponsored by or otherwise affiliated with or connected to the South Boston Soccer League (the “Activities”), I agree to indemnify, release, hold harmless, forever discharge and covenant
not to sue South Boston Soccer League and any of its directors, overseers, officers, trustees,
employees, agents, affiliates, successors and assigns, and to absolve them from any and all liability for any
claim or suit, of any kind or nature, arising out of my child’s participation in the Activities whether or not such
Activities are on the premises of South Boston Soccer League or elsewhere.
 *
Required
Photo Release- 

I, the parent or legal guardian of the above registered child grant South Boston Soccer League my permission to use the photographs described as social media promotions for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. 

Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

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I acknowledged that I have read and agree to the waiver listed above
 *
Please Venmo @SouthBostonSoccerLeague the cost of play to complete registration. Include player's name in transaction. Costs $10/player or $25/family. Financial Aid available.
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