Fairfield Soccer FC - (Fairfield, TX) - powered by LeagueLineup.com

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Fall 2024 special registration

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

* Email:

* Gender:

* Grade:

Preferred Coach:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

Home Phone:

Work Phone:

* Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

* Insurance Carrier:

* Policy #:

I consent to my child playing soccer for FSFC. I understand what is needed and that attending practices and games are important. I will do my best to help them grow as players and be held accountable. I understand that sometimes, a season may be rained out or plagued by sickness like covid and if these events take place and cause us not to have a full season, I will not expect a refund because I understand that those events does not take away from the expenses for my child to play and be insured. We will give all that we can while signed up with FSFC!

*** Insert your waiver information here ***

I/we agree with the above *

* indicates required fields