Soccer Clinic 2022


Player's Name(Required)
Full Address(Required)
Shirt Size(Required)
Age group(Required)
Select One(Required)
(Cash or Check only accepted at office, checks payable to Thomas Township General Fund) Registration Deadline - January 14th ($15 late fee after this date till January 21st) Registration Closes January 21st
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.
Concussion Information Acknowledgement(Required)
MM slash DD slash YYYY
Volunteer Coach Name