Soccer Registration 2019

PLAYER INFORMATION
Please note, Parents will be responsible for paying for another uniform if the size is selected incorrectly on the form.
PARENT/GUARDIAN #1
MEDICAL/EMERGENCY CONTACT INFORMATION
City of Lowell Parks and Recreation sports program depend entirely on volunteers to coach our youth! Without your help these programs would not exist. Our coaches' main priorities are to provide kids with a positive with a positive learning experience that promotes skill & character development, confidence, sportsmanship, and most importantly fun.
WAIVER INFORMATION
By signing this form, I agree that in the event he/she is disabled, injured, or incurs a disease of a temporary nature while participating as a member of the activity or program to release, indemnify, and hold harmless the City of Lowell, its officials, agents, and employees from all action, causes of action, claims, demands, damages and cost arising there from, and do hereby assure all risks associated with participation in the sport or activities provided. Before starting any type of exercise program, you should contact your doctor first. Also we agree to return any equipment or uniforms to the recreation department.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, illness during the activities. IJ understand that at these activities, I may be photographed. I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holder, producer, sponsor, organizers and or assigned.

**** NO REFUNDS WILL BE GIVEN AFTER DRAFTS HAVE BEGUN****
CODE OF CONDUCT FORM

Also, we agree to return any equipment to the recreation department. In addition, I agree to abide by all code of conduct and department rules.

 

* indicates required fields