(Checks payable to Thomas Township General Fund) Registration Deadline – 8/3 ($25 late fee after this date till 8/9) Registration Closes 8/9

WE CANNOT GUARANTEE REQUESTS. Volunteer Coaches determine their teams practice times.

Please acknowledge by signing below that you have talked with your child about the signs of concussions. Please make sure they know what to do if they have signs of a concussion or brain injury. Please acknowledge that you (parent/guardian/caregiver) have read the Heads Up Concussion Sheet for parents and have discussed with your child about what to do if they have a concussion or brain injury. Please check the box to show you have received a copy of the Concussion Information Sheet.

My signature on this form verifies that I understand Thomas Township, its employees and volunteers, shall not be responsible for any injury to my child while participating in this Soccer program. I waive and release Thomas Township from any and all claims.