Registration Form Fall 2019

Welcome to Hampton Fall 2019 Online Registration

Email: hamptonsoccerclub2012@gmail.com
Questions? Call Rob Herbison (201) 832-7688 or Dawn Hudock (973) 919-9073

Ages 4 1/2 through 6th Grade are eligible to participate

Practices will begin by September 4th

Registration Deadline is September 10th

Fee: $70.00 per child + $35.00 for a new uniform (if needed)
Each Additional Child $55.00 + $35.00 for a new uniform (if needed)


PLAYER INFORMATION


PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

WE WILL TRY OUR BEST TO ACCOMMODATE EVERYONE'S REQUESTS


MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION
Release:
I (we) knowingly, freely and voluntarily, for myself, my heirs, personal representatives and assigns, waive any right or cause of action of any kind whatsoever, arising as a result of my sons/daughters participation in soccer.
I (we) hereby assume all ricks or injury to above child and to property while participating in soccer.
I (we) agree to defend, indemnify, and hold Hampton Soccer Club, their employees, agents, heirs, successors, assigns, officers or directors harmless from any cause of action, claim, etc. of any kind for any purposes in connection with soccer.
i (we) covenant and agree not to sue or institute any action of account of injuries occurring while part of the Hampton Soccer club
I (we) agree to abide by the rules, philosophy and code of ethics of the Hampton Soccer Club.
 

* indicates required fields