Middle School Boys Soccer 2021
This is the registration form for boys soccer for fall 2021.  All forms must be submitted through this Google form.

The cost to play will be $75 and will need to be made out to Saint Mary's PTO- Soccer.  This covers field costs and paying for officials.

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Email *
Child's Name, Age, and Grade Level *
Email *
Address *
Parent Name *
Best Phone number to reach and email address *
Parent Name *
Best Phone number to reach and email address *
Physician name and phone number *
Insurance Company and Policy Number *
Any medical problems *
Emergency Contact (name, number, relation to child) *
I, as parent or guardian of the above child, give my approval for his/her participation in the Saint Mary Athletics.  In case of injury to my child, I give permission to rend or obtain necessary medical care until I am contacted.  I also assume financial obligations for such medical treatment.  I hereby release, absolve, and hold harmless Saint Mary Church and School and all person involved in the athletics program, and waive all claims against any or all of them.  I understand that I am responsible for accident insurance coverage.
Parent Guardian E-Signature and Date *
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