Under 6 Soccer Registration Page

M i n d        B o d y      S p i r i t     S o c c e r

Hello and welcome to Under 6 Soccer!

This is the Registration Page for the Sunday Stars League and the Under 6 Soccer Camp at

Athens Community Center
 701 East State Street




 
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REGISTRATION
LIMITED TO FIRST 20 PARTICIPANTS

Athens Soccer Academy Registration Form

Player Information Section

Name_________________________________________________________________

Child's Age/DOB__________________________________________________________

Parent Information Section

Name ________________________________________________________________ 

Emergency Contact #____________________________________________________

Address______________________________________________________________

Phone # Home  ____________________________Cell_________________________ Text?_________________________________________________________________                

Email_________________________________________  Are you on Facebook?_____

Does your child have known allergies or medical issues? Y/N

If yes, please indicate_________________________________________________________________

Are there any other things you would like us to know as we work with your child?

 Child's Doctor                                                            Doctor's phone

 

By signing this form, I voluntarily assume all risk of personal accident, injury, damage and/or loss as a result of my child's participation with Athens Soccer Academy.  Therefore, I agree to release the Athens Department of Parks and Recreation, the Greater Athens Soccer Association, Southeastern Ohio Soccer League, all sponsors, Tad Albano and Athens Soccer Academy, and its officers and any local individuals acting on behalf of these entities, from responsibility for any and all damage or injury of any kind as a result of my child's participation.  I grant Athens Soccer Academy the right to take photographs and/or videos of my child in connection with the above participation.  I authorize Athens Soccer Academy, its assigns and transferees to copyright, use and publish the same in print and/or electronically.  I agree that Athens Soccer Academy may use such photographs, with or without name, and for any lawful purpose, including for example such purposes as Athens Soccer Academy publicity, illustration, advertising, and web content.

 

Parent's Signature____________________________________________  Date____________________________________________



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Tad Albano is a graduate of Lewis University where he played four years before moving to Athens and starting Athens Soccer Academy in 2008. Tad is a soccer Official in his spare time and teaches Tae Kwon Do at Athens Community Center.




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