| Print out this form and bring with you to registration |
| ______________________________________________ |
| Players Name |
| ______________________________________________ |
| Birth Date |
| ______________________________________________ |
| Parent Names |
| ______________________________________________ |
| Phone# |
| ______________________________________________ |
| Address |
| ______________________________________________ |
| City and Postal Code |
| ______________________________________________ |
| Name of School |
| ______________________________________________ |
| Emergency Phone # |
| ______________________________________________ |
| Player Height & Weight |
| ______________________________________________ |
| Player ability or experience |
www.ccs.4t.com |
Can you help your child's team? |
I can volunteer some time |
I will help Coach |
I will Coach |
Parents Agreement |
I acknowledge that: |
- the player registered is fit and able for sports participation.
|
- I will abide the guidelines and rules of the CCS.
|
- I realize the risk of participation and will not hold CCS responsible.
|
- I know that shin pads are required to play.
|
- Cash, Certified cheque, or Money Order must accompny the registration form to hold a spot in the league.
|
- I give CCS permission to use photographic images of events
|
Use one form per child. |
Parent or Guardian Name (Please Print ) |
______________________________________________ |
Signature |
______________________________________________ |
Cash or Money Order must accompany registration. |