Devenio Soccer Club Player Registration, Fall 2018
Please fill out this for to register your son or daughter for the Fall 2018 Devenio Soccer Club season and choose which team/location is preferred.

**Fun Bunch Youth programs are for ages 5/6 years through 12/13 years of age. FYI- both age and ability are taken into account, so please contact us with any questions regarding your child.

Devenio Soccer Teen/Adult Teams will have a min. of two games in the Fall 2018 Season provided that each team has a min of ten (10) players signed up. These dates will be announced by mid-September.

If you have any questions, please email admin@devenio.org.

Player's First Name *
Your answer
Player's Nickname
Your answer
Player's Last Name *
Your answer
Player's Date of Birth *
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/
DD
/
YYYY
Player's Gender *
Which Devenio Soccer team/location are you interested in? *
Required
Shirt Size *
Parent 1 First Name *
Your answer
Parent 2 Last Name *
Your answer
Parent 1 Email *
Your answer
Parent 1 Cell Phone *
Your answer
Alternate Phone Number
Your answer
Parent 2 First Name
Your answer
Parent 2 Last Name
Your answer
Parent 2 Email
Your answer
Parent 2 Cell
Your answer
Are you interested in volunteering?
Your answer
Do you know anyone else who would like to volunteer? Please give us their contact information so that we may reach out to them.
Your answer
How did you hear about Devenio Soccer Club and/or Fun Bunch?
Your answer
WAIVER: As parent and or/guardian, I remain legally responsible for any personal actions taken by the above named minor (“player”). I agree on behalf of myself, my child named herein or our heirs, successors, and assigns, to hold harmless and defend Devenio, inc. its officers, directors and agents, Little Flower Catholic Church, its officers, directors and agents, and the Archdiocese of Washington, Maryland Soccerplex, it's officers, directors and agents, Prince George's County Parks & Rec, it's officers, directors and agents, coaches, chaperons, or representatives associated with the event, arising from or in connection with my child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith. I grant to Devenio, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize Devenio, its assigns and transferees to copyright, use and publish the same in print and/or electronically.I agree that Devenio may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. *
PLEASE TYPE FULL PARENT'S NAME BELOW TO AGREE TO WAIVER.
Your answer
Welcome to the Team!
Once you have submitted your registration, we will add you to the Team Snap account so that you will receive the most up to date schedule and communications! Due to the coordination of facilities, some programs begin the weekend of 9/8 and others will begin the weekend of 9/15.
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