Registro de jugadores

$180

Please complete this form to apply for FInancial AID

Player First Name

Player Last Name

Player Date of Birth

Día

Mes

Año

Player Gender

Parent or Legal Guardian Full Name

Contact Email

Contact Phone Number

Address

Jersey Size

Please note any allergies and/or medications:

I understand that participation in the Canal FC Soccer Clinic involves physical activity and there is a risk of injury. I agree to hold harmless Canal FC, Access U Foundation, and all affiliated members for any injuries sustained by my child during the clinic.

By checking this box , I do also hereby give my permission to Canal FC and ACCESS U Foundation to use any and/or all photographs of myself and/or my children for future agency publications. I understand that my name or my children's names) will not be published at any time in any publications. I give my permission for a photograph of my child to be used for Canal FC and ACCESS U Foundation marketing purposes