Hamilton Township Soccer Club

Recreational Soccer Registration Form

FALL 2008

www.htsoccerclub.com

Please complete and submit this registration form.

Print 2 copies the confirmation page.


Player's Name:	Gender:
Address:	Age:		at start of season
Apt:	Birth Date:		mm/dd/yy
City:	Grade:		at start of season
Zip:	Shirt Size:
Phone:	Shirts will be ordered as specified
	Be sure to specify A (Adult) Y (Youth)
Email:
Does the player have any physical disabilities:
If yes... Explain:		*No Refunds*
		There will be a $25.00 Fee for all returned checks

The Hamilton Township Soccer Club is a non-profit, volunteer organization. Your participation on the recreation league is strongly urged by volunteering in one or more of the following ways:


Coach / Assisting a Team	Request information on:
Registration / Team Coordinator		Sponsoring a Team
Concession Stand		Traveling Teams
Fundraising
Field Day Volunteer

Having been informed of the organization of the Hamilton Township Soccer Club, to provide supervised soccer games, I/we, the Parents of the above named candidate, do hereby give my/our approval for his/her participation in any and all activities during the current season. I/we do assume all the responsibilities of transportation to and from all the activities. I/we do understand NO derogatory statements shall be made by any person(s) while present within the confines of the H.T.S.C. authorized recreation area; And, any person(s) violating said rule will be expelled from the program.

Player's Parent / Guardian

There will be a $25.00 charge for all returned checks

No Refunds

Emergency Treatment Release

I, , as a parent/guardian of player registered on this form, authorize medical treatment under emergency circumstances in my absence after a reasonable effort has been made to contact me. This release is signed of my own free will for the sole purpose of emergency medical treatment.

Other Contact Person in Emergency:

Name:
Phone:
Relationship:

1107