Futbol Club

Co-Rec Spring Soccer for ages 9-12!

The season begins April 5^th and ends May 18^th.
Practices will be held on Wednesdays and Thursdays from 5:30pm-7:00pm
Register below or in our office.

Youth Futbol Club Registration

Select Activity* Futbol Ages 9-10 - $50.00Futbol Ages 11-12 - $50.00

(Age as of Mar. 31st)

Participant's Name*

Age*

Sex* FemaleMale

Grade

School*

Date of Birth*

mm/dd/yyyy

Years in Program

Parent/Guardian Name*

Mailing Address*

City*

State*

Zip*

Primary Phone*

Emergency Contact Phone*

(if parent/guardian cannot be reached)

Email*

Shirt Size* Youth S (6-8)Youth M (10-12)Youth L (14-16)Adult S Adult MAdult LAdult XLSizes Run Small

IMPORTANT INFORMATION, PLEASE READ & CONSENT BELOW.LIABILITY RELEASE: By signing below I, as a participant or legal guardian representing a minor participant, agree to release the Brown County Parks & Recreation ("BCPR") department, its officers, employees, sponsors and volunteers from all liability for accidents, injuries, illnesses (including but not limited to unknown risks/exposure to COVID-19), loss of and/or damage to my/our person or property that may arise out of my/our participation in, or my/our presence at the above activity(s). I/We are aware that there are certain risks or possible dangers in participating in this activity. I have entered into this agreement of my own free will. MEDICAL RELEASE: In case of illness or accident, permission is granted to take the above person to the hospital or doctor’s office for medical attention. CODE OF ETHICS RELEASE: As a participant or spectator, I (we) agree to abide by, follow and comply with the rules, policies, and expectations of the BCPR programs and will conduct myself (ourselves) in a courteous and respectful manner by exhibiting good sportsmanship and being a positive role model for youth. I (we) also understand that failing to do so will constitute grounds for sanctions and/or dismissal of participant from the program. PICTURE RELEASE: I, as a participant or legal guardian representing a minor participant agree to allow BCPR to use pictures taken at events for promotional purposes.

I would like to HELP: **To Ensure Player Safety a background check will be done on all Coaches and Assistants

Coach

Assistant Coach

Sponsor, Fee -$200.00

Comments or Medical Information

Additional ChildFirst Child No Discount-$0.00Additional Child Discount- $10.00

Price

Signature (Type Name Here)*

By signing this form you agree to the hold harmless/liability release stated above.

reCAPTCHA

If you are human, leave this field blank.