Lil' Beavers Online Registration

Child's Name * First Last
Parent/Legal Guardian Name * First Last
Phone * - ### - ### ####
Email *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Classes *
Ages 18-36 Months (Saturdays 8:15 a.m. - 8:45 a.m.) Ages 3-4 (Saturdays 8:50 a.m. - 9:20 a.m.) Ages 4-5 (Saturdays 9:25 a.m. - 9:55 a.m.) Ages 4-5 (Saturdays 10:00 a.m. - 10:30 a.m.) Ages 6-8 (Saturdays 10:35 a.m. - 11:05 a.m.) Ages 9-12 (Saturdays 11:05 a.m. - 11:35 a.m.)
Child's Birthdate * / MM / DD YYYY
How did you hear about us? *
Friend Google Nextdoor School Newspaper Driving by Road sign Other
Comments
RELEASE FORM

The parents or legal guardian of any player/person under the age of 18 must sign this form before any player/person can participate in any activity at/for Beaverton Indoor Soccer.

Soccer (and any other activity or sport sponsored by Beaverton Indoor Soccer) is an exciting sport that sometimes involves forceful contact with the ground or other athletes. Because of these risks inherent to the sport, participating in soccer exposes the player/person to many risks of injury. No matter how careful the athletes and coach are, the risk cannot be eliminated. The risk of injury includes minor injuries such as bruises and more serious injuries such as broken bones, dislocations, and muscle pulls. The risks also includes but are not limited to, catastrophic injuries such as permanent paralysis or even death from landings or falls on the back, neck, or head.

I understand and assume all risks associated with participating at Beaverton Indoor Soccer including, but not limited to, all Beaverton Indoor Soccer activities at this facility or others, and injuries that may occur while being transported. I further agree to hold Beaverton Indoor Soccer and its employees, representatives, coaches, volunteers, owners, and agents harmless in any and all liability actions, claims, or additional legal action in connection with participation in any activities related to Beaverton Indoor Soccer.

I grant to Beaverton Soccer LLC and its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize Beaverton Soccer LLC, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Beaverton Soccer may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

I do hereby grant permission for my child to participate in activities associated with Beaverton Indoor Soccer. I/We hereby acknowledge that our child is physically fit and mentally capable of participating in soccer activities. In the event of an emergency, I give my permission for any emergency treatment that may be required due to injury or illness.
RELEASE FORM *
By checking this box, I have read and understand the Release Form as stated above.