TEAM / INDIVIDUAL REGISTRATION FORM

SHAWNEE SAND SOCCER LEAGUE
TOPEKA, KS

It’s fast, furious and FUN! Sharpen those muscles that haven't been used in a while to improve your overall soccer and fitness skills, by playing the best SAND soccer game around. For those avid soccer players, the more touches you receive on the ball, the more your game will improve. Teams that add this core training into their overall program increase their stamina, agility, strength, and quickness in regular league soccer.

TEAM and INDIVIDUAL Sand Soccer Registration

Team Name:_______________________Age Div.___

Player Name:______________________Age Div:___

Boys Girls (circle one)

Parents Name:_______________________________

Coach’s Name:_______________________________

Address:___________________________________

Daytime telephone:____________________________

Evening telephone:____________________________

Email address:_______________________________

(please check one)

Session Date:____________or dates__________


Please send (& make) checks to: Shawnee Sand Soccer, 7421 SW 24 Terr, Topeka, KS 66614
No refunds after registration deadlines. Liability waivers for each player must be on file before play begins.

My signature acknowledges I am the parent or legal guardian of the above listed minor. I understand medical insurance is not provided with SSSL programs. I release the SSSL from any and all liability whatsoever resulting from participation in SSSL activities. I authorize those in attendance to act according to their best judgment in emergency situations requiring medical attention. I hereby waive and release the ALL parties and locations, it's staff, agents, sponsors, and/or coaches from any and all liability that may occur from accident, injury or illness sustained by my son/daughter during participation in these activities. I understand that no refunds will be applied. I understand behavior resulting in removal from a program does not constitute refund criteria. I understand that if equipment is issued in conjunction with any program, failure to return said equipment will result in legal action. I understand returned checks will be accessed a $30 processing fee. I understand that photographs of all activities and activities conducted by tenants will be taken and may be used for brochures, promotions and advertising without permission.

I acknowledge all information and waivers contained herein. Please Print and return, (mail).

Coach___________________________________________

Sign_______________________________Date__________

Coach___________________________________________

Sign_______________________________Date__________

1. Player_________________________________

Parent Sign_____________________________Date__________

2. Player_________________________________

Parent Sign_____________________________Date__________

3. Player_________________________________

Parent Sign_____________________________Date__________

4. Player_________________________________

Parent Sign_____________________________Date__________

5. Player_________________________________

Parent Sign_____________________________Date__________

6. Player_________________________________

Parent Sign_____________________________Date__________

7. Player_________________________________

Parent Sign_____________________________Date__________

8. Player_________________________________

Parent Sign_____________________________Date__________

9. Player_________________________________

Parent Sign_____________________________Date__________

10. Player_________________________________

Parent Sign_____________________________Date__________

My signature acknowledges I am the parent or legal guardian of the above listed minor. I understand medical insurance is not provided with SSSL programs. I release the SSSL from any and all liability whatsoever resulting from participation in SSSL activities. I authorize those in attendance to act according to their best judgment in emergency situations requiring medical attention. I hereby waive and release Shawnee Sand Soccer League, it's staff, agents, sponsors, and/or coaches from any and all liability that may occur from accident, injury or illness sustained by my son/daughter during participation in these activities. I understand that no refunds will be applied. I understand behavior resulting in removal from a program does not constitute refund criteria. I understand that if equipment is issued in conjunction with any program, failure to return said equipment will result in legal action. I understand returned checks will be accessed a $30 processing fee. I understand that photographs of all SSSL activities and activities conducted by leased tenants will be taken and may be used for brochures, promotions and advertising without permission. I acknowledge all information and waivers contained herein.