2023 Glory Jr's Skills Camp Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form MUST be filled out by the Player's parent or legal guardian.

Email *

Player's First Name *

Player's Last Name *

Player's Birth Year *

(Select Birth Year below)

Soccer Playing Experience

Has your player participated with Glory Jr's or Glory Minis previously?

Yes

Other Team

Clear selection

Parent / Guardian Name *

Parent / Guardian Phone (Cell) *

use "123-456-7890" format

Is your player already registered for Glory Jrs this year? *

Does the player have any physical or medical conditions that we should know about? *

Yes

Required

IF YES, Please describe any physical or medical conditions.

How did you hear about Utah Glory and Glory Jr's? *

Parental / Guardian Consent

I, as the listed parent/guardian of the player listed on this form, give permission for my child, a minor, to participate in the tryouts for the Utah Glory Soccer Club. I, on the behalf of myself and my player listed on this form, release and indemnify Utah Glory Soccer Club, its employees and other personnel against any claims, damages, or liabilities brought on as a result of the player’s participation in the Utah Glory Soccer Club tryouts. I also grant my authorization and consent for Utah Glory Soccer Club personnel to administer general first aid treatment for any minor injuries or illnesses experienced by the minor. If the injury or illness is life threatening or in need of emergency treatment, I authorize the personnel of Utah Glory Soccer Club to summon any and all professional emergency personnel to attend, transport, and treat the participant.

Agreement *

By selecting this check box, I agree to the above terms

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Utah Glory Soccer Club. Report Abuse

Forms