Freedom FC - Freedom Fighters

Online Registration

Player's Name

Date of Birth

Date of Birth :: Please enter birth date in dd/mm/yyyy format.

Mother's Name

Mother's Cell Phone

Father's Name

Father's Cell Phone

Home Address

Home City

Home Zip

Email

Physical Limitations

Physical Limitations :: Does your child have any phiysical limitations?

If yes, please explain:

Event Notification

Notify Me Of Future Events

Division is determined by the player's age on August 1st of the playing year

Division

Division :: Division is determined by the player's age on August 1st of the playing year.

Parent / Volunteer Support

Parent Support

Team Coach
Team Manager
Referee
Snack Coordinator

Dear Parents: FFC Soccer is a non-profit volunteer leage. We sustain ourselves by sponsoring and fundraising. We need everyone's help t keep things running smoothly. Without your generous donation of your time, we cannot provide the programs we do. Thank you for your valued support!

IMPORTANT - I/We, the parent /guardian of the above named player, a minor, and the above named player agree to the following:

(1) To abide by the rules of Kidz In Action, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for Kidz In Action accepting registrant for its soccer program and activities (the "Programs"), I hereby release, discharge and/or otherwise indemnify Kidz In Action, its affiliated organizations, and sponsors, their employees and associated personnel, including the owner of the fields and facilities utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrant's participation in the Programs and/or being transported to or from the same, which transportation I do hereby authorize. (2) Refund Policy: A written request must be received 7 days prior to start of first session or lose $60.00 of registration fees. Failure to attend first session without prior written notice of cancellation will result in forfeiture of all fees. No refunds given after first session. NO EXCEPTIONS! (3) To hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions necessary to preserve the life, limb, or well-being of my dependent. (4) To hereby give my consent to Kidz In Action to take photographs, video recordings, and/or sound records of the above named player in documenting the activities of Kidz In Action programs. I grant Kidz In Action permission to use the negatives, prints, motion pictures, video/audio tapings, or any other reproduction of the same for Kidz In Action educational and promotional purposes in manuals, on flyers, on the world wide web, or in any other publication for public and/or advertising purposes.

By checking the box below and submitting this form you agree to the terms of the release of liability as stated above.

Release of Liability

Accepted.

Please print this form for your recrords.

Security Verification: please enter characters as they appear on the right.