CANAL RESIDENT PLAYER REGISTRATION

Fall 2026 Season
September-November

Ages

KG-8th Grade

Boys & Girls

Program

After School

Soccer &

Rec Games

Locations

San Pedro Elementary

Bahia Vista Elementary

Pickleweed Park

Please complete this form to register your player and submit the payment.

Player First Name

Player Last Name

Player Date of Birth

Month

Day

Year

Player Gender

Parent or Legal Guardian First Name

Parent or Legal Guardian Last Name

Contact Email

Contact Phone Number

Address

What program do you want to register to

If you’ll be attending Pickleweed, what school do you go to?

Grade

Does your student attend the after school program at the school?

Yes

Jersey Size

Short 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 I understand that my name or my children's names) will not be published at any time in any publications.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

CANAL RESIDENT PLAYER REGISTRATION

Fall 2026 Season September-November

Fall 2026 Season
September-November