Intro to Soccer Reg | Soccer Alliance Miss

Intro to Soccer Sessions Registration & Waiver

First name

Last name

Birthdate

Address

Do you have any physical limitations that may restrict movement & rigorous activities?

Yes

If yes, please specify condition that may limit movement & activities

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Sign

SAM requests a $30 donation to participate in the Intro to Soccer sessions to cover insurance and field rental. All extra proceeds will go to Missoula Adaptive Recreation & Sports

Press Submit to Complete Registration