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2025 Soccer Player Registration
PLAYER INFORMATION
*
First Name:
*
Last Name:
Street:
City:
State:
Zip Code:
*
Home Phone:
Mailing address if different:
*
AGE:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Gender:
F
M
*
Grade:
PreK
K
1
2
3
4
5
6
7
8
Please check box of the team level.
*
Team Level:
3U-11U
Comments/Special Instructions about player::
*
Firstname:
PARENT/GUARDIAN #1
*
Lastname:
EMail:
*
Home Phone:
Work Phone:
*
Alt Phone:
PARENT/GUARDIAN #2
Firstname:
Lastname:
Email:
Home Phone:
Work Phone:
Alt Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
Emergency Contact:
Phone:
Relationship to Player:
There is a $145.00 registration fee this does include the uniform.
**Online payment option is available on the QSA webpage.
Soccer Commissioner
Frank Chavez
Frankchavez1335@gmail.com
WAIVER INFORMATION
WAIVER
In consideration of Quinlan Sports Association(QSA)allowing the undersigned participant to participate as part of QSA, I recognize that my child could incur risk in participation in this event. I hereby absolve now and forever QSA, BISD, QISD an or any organizer of QSA, BISD, QISD, the competitions, their games, their agents, employees and all other person, firms and corporations that might be involved with them, whether named or not, all and each of them of any from any and every claim, demand, action, right of action of whatsoever kind of nature, either by law or in participation in and with QSA, BISD school gym and all facilities, QISD school gym and all facilities during the period of practices and or competitions. Whether by negligence or not following the direction set by directors/coaches. I further agree to release QSA and/or its representatives from any responsibility in the event of an injury to said participant. Parent/Guardian is responsible for the $50.00 deductible for insurance in case of injury.
Online payments , Checks, Cash, or Money orders Accepted.
$25.00 Charge for all returned checks, violators will be prosecuted. QSA board meetings are held monthly the first Wednesday, following the first Tuesday. QSA board meetings start at 7pm and are open to the public.
I/we agree with the above
*
* indicates required fields