College Park Boys & Girls Club

* Player's First Name:

* Player's Last Name:

* Sex:

Male

Female

* Date of Birth (mm/dd/yy):

E-mail address (highly recommended for communication):

Second E-mail address:

* Parent #1 First Name:

* Parent #1 Last Name:

Parent #2 First Name:

Parent #2 Last Name:

* Address:

* City:

* Zip Code:

* Primary Phone Number:

Phone Number for Text Alerts:

Current Grade:

School attending:

Previous B&G Club Soccer Coach:

* T-shirt Size:

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult X-Large

The College Park Boys & Girls Club is a 100% volunteer organization. Our success is dependent upon the support and dedication of our parents and friends. Please select those areas where you can help.:

Coaching (soccer, t-ball, baseball, softball, basketball)

Administration (registration, equipment, website, e-mail/text updates)

General Activities (snackbar, family events, groundskeeping, awards banquet)

Other

By selecting "agree" below, I give my permission for my child, listed as player(s) above, to join the CPBGC, and agree that I have authority to do so as a legal guardian. I waive any claims against CPBGC or any of it's agents in the event of an accident involving my child. As an adult member of CPBGC, I agree to abide by the bylaws and policies of CPBGC.

* Agree to join CPBGC and abide by bylaws and policies:

Yes

* indicates required fields

Family Fee (Annual Fee required, exempt if you paid fee in the Spring)($10)

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2019 Fall Soccer PGSI (Grades: PreK - 8th grade)