Registration First Name *Last Name *Email Address *Phone *Number of Children Registering *Instagram HandlePlayer 1First Name *Last Name *Student ID0 / 6Gender *FemaleMaleLevel of Education *ElementaryIntermediateMiddle SchoolGrade Level7th8thGrade Level5th6thGrade LevelKindergarten1st2nd3rd4thAgeSchool AttendingAlexander – ADVENTURERSBest – BULLDOGSBoone – BEARSBush – BOBCATSChambers – CHARGERSChancellor – COMETSCollins – EXPLORERSCummings – CARDINALSHearne – HUSKIESHeflin – HOUNDSHicks – TIGERSHolmquist – HUMMINGBIRDSHorn – CUBSKennedy – COUGARSLandis – LIONSLiestman – CHIPMUNKS OR SQUIRRELSMahanay – BLUE-STARSMartin – MUSTANGSOutley – EAGLESPetrosky – PIRATESRees – YELLOW-STARSSmith – SHARKSSneed – DINOSYouens – GATORSOther/Not listedSchool AttendingAlief – CUBSBudewig – BULLDOGSKlentzman – TIGERSMata – EAGLESMiller – JAGUARSOwens – JAGUARSYoungblood – WILDCATSneed – DINOSChancellor – COMETSCollins – EXPLORERSYouens – GATORSOther/Not listedSchool AttendingAMSHolubOlleKilloughO’DonnellAlbrightOther/Not listedSchool AttendingPlease select the school your child is attending if it is not listedExperienceYesNoFor possible talent placement, does your child have soccer experience?Player 2First Name *Last Name *Student ID0 / 6Gender *FemaleMaleLevel of Education *ElementaryIntermediateMiddle SchoolGrade Level7th8thGrade LevelKindergarten1st2nd3rd4thGrade Level5th6thAgeSchool AttendingAlexander – ADVENTURERSBest – BULLDOGSBoone – BEARSBush – BOBCATSChambers – CHARGERSChancellor – COMETSCollins – EXPLORERSCummings – CARDINALSHearne – HUSKIESHeflin – HOUNDSHicks – TIGERSHolmquist – HUMMINGBIRDSHorn – CUBSKennedy – COUGARSLandis – LIONSLiestman – CHIPMUNKS OR SQUIRRELSMahanay – BLUE-STARSMartin – MUSTANGSOutley – EAGLESPetrosky – PIRATESRees – YELLOW-STARSSmith – SHARKSSneed – DINOSYouens – GATORSOther/Not listedSchool AttendingAlief – CUBSBudewig – BULLDOGSKlentzman – TIGERSMata – EAGLESMiller – JAGUARSOwens – JAGUARSYoungblood – WILDCATSneed – DINOSChancellor – COMETSCollins – EXPLORERSYouens – GATORSOther/Not listedSchool AttendingAMSHolubOlleKilloughO’DonnellAlbrightOther/Not listedSchool AttendingPlease select the school your child is attending if it is not listedExperienceYesNoFor possible talent placement, does your child have soccer experience?Player 3First Name *Last Name *Student ID0 / 6Gender *FemaleMaleLevel of Education *ElementaryIntermediateMiddle SchoolGrade Level7th8thGrade LevelKindergarten1st2nd3rd4thGrade Level5th6thAgeSchool AttendingAlexander – ADVENTURERSBest – BULLDOGSBoone – BEARSBush – BOBCATSChambers – CHARGERSChancellor – COMETSCollins – EXPLORERSCummings – CARDINALSHearne – HUSKIESHeflin – HOUNDSHicks – TIGERSHolmquist – HUMMINGBIRDSHorn – CUBSKennedy – COUGARSLandis – LIONSLiestman – CHIPMUNKS OR SQUIRRELSMahanay – BLUE-STARSMartin – MUSTANGSOutley – EAGLESPetrosky – PIRATESRees – YELLOW-STARSSmith – SHARKSSneed – DINOSYouens – GATORSOther/Not listedSchool AttendingAlief – CUBSBudewig – BULLDOGSKlentzman – TIGERSMata – EAGLESMiller – JAGUARSOwens – JAGUARSYoungblood – WILDCATSneed – DINOSChancellor – COMETSCollins – EXPLORERSYouens – GATORSOther/Not listedSchool AttendingAMSHolubOlleKilloughO’DonnellAlbrightOther/Not listedSchool AttendingPlease select the school your child is attending if it is not listedExperienceYesNoFor possible talent placement, does your child have soccer experience?Medical Consent *I hereby allow the child(ren) named below to participate in the Alief Futsal League. I know of no mental or physical problems which may affect my child(ren)’s ability to safely participate. I realize that futsal is a physical activity involving contact. I therefore accept responsibility for my child(ren)’s physical condition. I hereby promise and agree that I will not hold Alief Futsal League nor its employees liable for any loss, damage, or personal injuries received as a result of participation. I hereby authorize the directors and staff of the Alief Futsal League to act for me in accordance with their best judgment in any emergency requiring medical attention. Furthermore, I hereby release the Alief Futsal League and its agents and its staff from any and all liability for any injuries or illnesses that may arise during the Alief Futsal League. I understand and assume the hazards and risks associated with this activity and waive all claims against the Alief Futsal League and its staff.Media Consent *Social Media Use Policy: Alief Futsal League requires a signed release form from the subject of any Futsal League clips, MVP interviews, photograph or image used on its web site. This form must be completed by individuals or parents of individuals who wish to submit photographs for publication or who may be the subject of photographs to be published. Alief Futsal League will not publish any image of a minor unless his or her parent or legal guardian has signed a release form. Social Media Release and Consent Agreement: I hereby grant permission to Alief Futsal League to use my image on its web site, Instagram or Facebook page without further consideration. Permission is also granted to use images of my children listed below. I understand that no names will be used on the web site unless specific permission, in written form, is given to an appropriate staff member. I understand that once any image is posted to the Alief Futsal League web site, Instagram, or Facebook the image can be downloaded by any computer user around the world. I hereby attest that I am the legal parent/guardian of the child(ren) listed below. This consent is effective until such time as I revoke it in writing and provide a copy of the revocation to Alief Futsal League. Equipment Acknowledgement *I hereby acknowledge that I am aware that my child(ren) is/are required to bring shin guards, tennis shoes, and a water bottle for every game and practice session in the Alief Futsal League. I understand that it is my responsibility to ensure that my child(ren) has/have the necessary equipment for safe participation.Billing TotalTotal for 1 player: $75.00Billing TotalTotal for 2 players: $150.00Billing TotalTotal for 3 players: $225.00Credit / Debit Card *Register
