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Registration
/ Soccer Registration Summer 2021
Soccer Registration Summer 2021
$
0.00
Please select a team first. The price will adjust accordingly. Wait for the price to show up before proceeding.
Team - Soccer
Soccer U5/U6
Soccer U7/U8
Soccer U9/10
Soccer U13
Soccer U15
Soccer U17 Boys
Soccer U17 Girls
Seniors A
Senior AA
Please enter the information for the member who is registering
Member Family Name
*
Member First Name
*
Member Date Of Birth
*
Member’s Email
Member Address
*
Member City
*
Member Postal Code
*
Member Medicare Number
*
Member Medicare Number Expiration
*
Gender
*
Male
Female
Please select your gender
Member School Name
*
Please enter the member's school name
Member School Grade
*
Member Allergies and other medical conditions
Member Cell Number
*
Member Home Phone
*
Please enter numbers ONLY. No dashes.
Parents details below
Father’s Family Name
*
Father’s First Name
*
Father’s Phone
*
Please enter numbers ONLY. No dashes.
Father’s Email
*
Mother’s Family Name
*
Mother’s First Name
*
Mother’s Email
*
Mother’s Phone
*
Please enter numbers ONLY. No dashes.
Upload Photo
Sports Consent and Agreement with Homenetmen Gamk Policies
Consent To Participate and Photo Release
*
I give permission for my child to participate in the sports program and authorize the coaches to administer emergency treatment to my child for any accident or illness and to act in my stead in approving necessary medical care in my absence. This authorization shall cover all sports activities throughout the year and I authorize Homenetmen Gamk to publish and use photographs of my child in any of their publications (both current and future).
Soccer Registration Summer 2021 quantity
Add to cart
SKU:
HMEM-SOCCER-REG-2021
Categories:
Registration
,
Soccer
Description
Description
Please register for the summer soccer season 2021.
Soccer Registration Summer 2021
$0.00
Description
Please register for the summer soccer season 2021.