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Registration Form

Personal information

Name:

*

Contact Information:

*

The information you provide will be used to contact you with event details and updates leading up to the event.

Emergency Information

Parent/Guardian Information

*

This information will only be used in the event of an emergency.

Do you have any medical conditions?

*

Do you have any medical conditions?

Yes

No

Team matching information

What is your age?

*

Have you played rep/competitive soccer?

*

Have you played rep/competitive soccer?

Yes

No

Have you played for your school team?

*

Have you played for your school team?

Yes (High school)

Yes( Elementary)

No

How would you rate your soccer skill level on a scale of 1–10?

*

Preferred teammate(s)

Leave blank if none. We will try to accommodate requests, but teams may be assigned randomly.

Teammate 1

Teammate 2

Teammate 3

Teammate 4

Teammate 5

Agreements & Consent

Untitled checkboxes field

I have read and accept the Terms and Conditions.

*

Terms and conditions

I understand that there is a $10 entry fee (card and cash will be accepted on the event date).

I confirm that I have parental consent to attend this event.

Registration Form

Personal information

Emergency Information

Do you have any medical conditions?

Team matching information

What is your age?

Have you played rep/competitive soccer?

Have you played for your school team?

How would you rate your soccer skill level on a scale of 1–10?

Preferred teammate(s)

Agreements & Consent

Any additional information?