Neighborhood Soccer Registration
Questions? Call or Text: 605-368-1956
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Choose Your League *
Player Name *
Grade *
Birthdate *
Gender *
Shirt Size *
Parent / Guardian Information
Name
Address *
City / State / Zip *
Phone  *
Which of the following are you willing to help with?
This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law. By signing this form you are giving us permission to use your child’s photograph(s) for social media and promotional use, unless you notify us otherwise.
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