SG Sports
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2015 Summer Soccer Reg

SG Sports Registration Form

2015 Summer Soccer          Field Locations:

7 Week Summer Season                                                    Doerr Park

Saturday June 20 – Saturday August 8, 2015, July 4th off     Corners of Potrero and Park Wilshire Drives

Each Saturday from 9:30 AM to 11:00 AM                           San Jose, CA 95124

Send Registration Form and 
Non-Refundable $95 Fee Payable to SG Sports
                         
Shin Guards Required (Not Provided)

Registration must be received by May 22, 2015 to get jersey.                        

                                                                                    

Participants’ First Name                                         M.I.        Last                                                 Birth Date                    

Address                                                                                     City                              State       ZIP                          

Home Phone (_____)                           E-mail Address                                          School                                               

Youth Shirt Size: [  ]Small [  ]Medium [  ]Large Adult Size: [  ]Small [  ]Medium [  ]Large / Gender [   ] M   [   ] F

[   ] Do Not want name on shirt               [   ] If different then Last Name then desired                                                       

Self Assessment: Skills/Experience                                                                                                                                  

[   ] Friend/Sibling Participant. If yes, Name(s)                                                                                                                

GUARDIAN INFORMATION                            A Guardian must be present at all practices, games and/or events             

First Guardian

First Name                                                 Last                                                        Relationship                                  

Home Address ([   ] same as at top)                                                      City                                 State      ZIP                 

Home Phone (_____)                           Cell Phone (_____)                              E-mail Address                                                                                                     

I would like to volunteer as a [  ] Coach [  ] Assistant Coach [  ] Team Parent [  ] Field Preparation

Second Guardian                                                       

First Name                                                 Last                                                        Relationship                                  

Home Address ([   ] same as at top)                                                      City                                 State      ZIP                 

Home Phone (_____)                           Cell Phone (_____)                              E-mail Address                                                                                                     

I would like to volunteer as a [  ] Coach [  ] Assistant Coach [  ] Team Parent [  ] Field Preparation

 

I, the parent/legal guardian of the above-named participant, a minor, do agree that I and the player will abide by the rules and regulations established by SG Sports and its affiliates. I, for myself and the participant and for our respective heirs, administrators and successors, intending to be legally bound, hereby release, indemnify, defend  and hold harmless SG Sports, directors, officers, and  representatives and the owners and operators or the facilities used for the programs and their respective directors, officers, employees and representatives from and against all claims, liabilities, damages or cause of action arising out of or in connection with the players’ participation in any SG Sports programs. I further grant SG Sports the right to use the participant’s name, picture and/or likeness in printed, broadcast and other material concerning SG Sports programs. I understand that SG Sports programs’ are not “parent drop-off” events and that a guardian of record with SG Sports must be present at all practices, games and events. I HAVE READ THE ABOVE AGREEMENT AND FULLY UNDERSTAND THAT I ASSUME ALL RISKS FOR INJURY RECEIVED.

 

 

Guardian Name (Printed)                                               

 

Guardian Signature                                                               Date                                              

SG Sports MS 161  6081 Meridian Ave., Suite 70 ■ San Jose, CA 95120

www.SGsports.org ■ (408) 691-8227 ■ mark@sgsports.org

 

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