ST. COLUMBA SOCCER CLUB
Home
Board Members
Registration
Step 1: Player and Family Registration page
Step 2: Pay Registration & Uniform Fees
Step 3: Sign & Complete Waiver
About Us
FAQs
Our Teams
Pee-Wee
Team 1/2
Team 3/4
Team 5/6
Team 7/8 Varsity
TEAM PHOTOS
FIeld Locations
Codes of Conduct
Game Schedule
Get Involved!
Parent's Corner
Team Parent's Corner
Coach's Corner
Contact Us
Vendors
TEAM PHOTOS
TEAM PHOTOS
PARENT/GUARDIAN INFORMATION
*
Indicates required field
Parent/Guardian Name 1
*
First
Last
Parent/Guardian Email 1
*
Parent/Guardian Cell# 1
*
Parent/Guardian Name 2
*
First
Last
Parent/Guardian Email 2
*
Parent/Guardian Cell# 2
*
SOCCER PLAYER INFORMATION
Player1 Name
*
First
Last
Player1 Date of Birth
*
MM/DD/YYYY
Player1 Team
*
Choose One
Pee Wee
Grade 1/2
Grade 3/4
Grade 5/6
Grade 7/8
Pee Wee is for Pre K and Kindergartners
Player2 Name
*
First
Last
Player2 Date of Birth
*
MM/DD/YYYY
Player2 Team
*
Choose One
Pee Wee
Grade 1/2
Grade 3/4
Grade 5/6
Grade 7/8
Player3 Name
*
First
Last
Player3 Date of Birth
*
MM/DD/YYYY
Player3 Team
*
Choose One
Pee Wee
Grade 1/2
Grade 3/4
Grade 5/6
Grade 7/8
Player4 Name
*
First
Last
Player4 Date of Birth
*
MM/DD/YYYY
Player4 Team
*
Choose One
Pee Wee
Grades 1/2
Grades 3/4
Grades 5/6
Grades 7/8
Player5 Name
*
First
Last
Player5 Date of Birth
*
MM/DD/YYYY
Player5 Team
*
Choose One
Pee Wee
Grades 1/2
Grades 3/4
Grades 5/6
Grades 7/8
Emergency Contact Information
Person to Notify in Emergency
*
First
Last
Emergency Phone Number
*
Doctor to Notify
*
First
Last
Doctor Phone Number
*
I hereby give my consent for the above player to be treated by a physician or surgeon in case of sudden illness or injury while participating in any St. Columba event. It is understood that St. Columba provides no medical insurance for such treatment, and that the cost thereof will be at my expense. If a personal physician is listed above, every effort will be made to contact such physician. However, the location of the activity or the nature of the illness or injury may require the use of emergency medical personnel. In addition, I hereby waive, release and discharge any and all claim for damages, personal injury or property which may have, or which may hereafter accrue, as a result of participating in an event. This release is intended to discharge in advance St. Columba, its Officers, Coaches, Team Parents and other teammates from liability, even though that liability may arise out of negligence or carelessness on the persons or entities above. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns. I acknowlege that I have read all of the above and by selecting "yes" I am legally bound to the above. I further understand by selecting "no" that my child will not be able to participate within St. Columba Soccer Club.
*
Yes, as the player(s) guardian, I agree
No, as the player(s) guardian, I do not agree
As a Parent/Guardian, I am interested in volunteering for the following:
*
Coach
Assistant Coach
Team Parent
Step 1: Submit Contact Info
Step 2: Pay Registration Fee and Order Uniforms
Home
Board Members
Registration
Step 1: Player and Family Registration page
Step 2: Pay Registration & Uniform Fees
Step 3: Sign & Complete Waiver
About Us
FAQs
Our Teams
Pee-Wee
Team 1/2
Team 3/4
Team 5/6
Team 7/8 Varsity
TEAM PHOTOS
FIeld Locations
Codes of Conduct
Game Schedule
Get Involved!
Parent's Corner
Team Parent's Corner
Coach's Corner
Contact Us
Vendors
TEAM PHOTOS
TEAM PHOTOS
St. Columba Soccer Club (
[email protected]
) Owned By St. Columba Catholic School