Red Lions Indoor Soccer Registration

2012-2013

  Session 1 - Nov 10 - Dec 15 (except Nov 24)        First Child ($35)        Subsequent Child ($30)
  Session 2 - Jan 19 - Feb 23 (6 week session/price increase)        First Child ($40)        Subsequent Child ($35)
 
Player Name
Parent/Guardian Name
Home Address
City, State Zip   
Email
Re-enter Email
Home Phone --
Cell Phone --    May we send text messages to this number?  
 
Age
Birth Date / /
Gender
Grade
School
Skill Level
T-shirt Size Pre/K
T-shirt Size Youth
 
Sign me up! I would like to Volunteer Coach
Name
Select Group
 
Parental Consent
My child named above has my permission to participate in the Lincoln Christian University Red Lions Indoor Soccer League. I hereby voluntarily and knowingly release Lincoln Christian University, their staff and their volunteers from any and all obligations, liability or damage from any claims arising out of illness or injuries to my child incurred in any of the league activities. By entering my name, I certify I have read and accept the terms of this Parental Consent.
Parent Name
Date Signed / /
 
Online payment will be handled on the following screen.