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Player Registration
2024-25 Heart & Sole Futsal ANNUAL ACADEMY Player Registration
1
Complete Form
2
Payment
3
Confirmation
Option:
--Select--
ANNUAL Futsal Academy, Sep. - Jun.
ANNUAL Futsal Academy - Payment Plan, Sep. - Jun.
Price:
Description:
= Required Field
Player Information
--Select Player--
GENDER
Please select...
Male
Female
CITY
STATE
--Select--
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NF
NT
NS
NU
ON
PE
QC
SK
YT
DATE OF BIRTH
-SELECT MONTH-
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
-SELECT DAY-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-SELECT YEAR-
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
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2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Age Group by DOB:
Select Month/Day/Year
CURRENT JERSEY #
DESIRED JERSEY #
Player Type:
Field Player
Goalkeeper
Comments
Approvals
In case of an emergency I hereby authorize the agent, officer or employee of Heart & Sole Futsal to act for me according to his/her best judgement. In any emergency requiring medical attention, and hereby waive and release agents, officers and employees, or the owner and operators of Heart & Sole Futsal from any and all liability for any injuries, illnesses, or loss of property incurred while attending the camp, course or tournament. Participants must inform Heart & Sole Futsal of any specific health needs.
I also consent to the use by Heart & Sole Futsal and/or sponsors for promotional purposes in connection with this camp, tournament or coaching certification course of his/her name, address (city/state) and/or likeness and/or voice without further compensation.
By electronically signing this, I agree to the statements above.
I understand that by registering my child to play for Heart & Sole Futsal I agree to pay the U.S. Youth Futsal one time annual fee of $13.50.
An email will be automatically generated and sent to the email address used for registration when my child is added to a team roster.
I understand that my child may not participate in futsal games until I have completed this process.
CONTACT INFORMATION
GUARDIAN #1
Same as player
STATE
--Select--
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NF
NT
NS
NU
ON
PE
QC
SK
YT
ZIPCODE
1 of the 3 phone numbers below must be filled in
HOME
WORK
CELL
PREFERENCE
Home
Work
Cell
I would like to volunteer
Coach
Assist. Coach
Field Marshall
Referee
Team Manager
GUARDIAN #2 (optional)
Same as player
STATE
--Select--
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NF
NT
NS
NU
ON
PE
QC
SK
YT
ZIPCODE
1 of the 3 phone numbers below must be filled in
HOME
WORK
CELL
PREFERENCE
Home
Work
Cell
I would like to volunteer
Coach
Assist. Coach
Field Marshall
Referee
Team Manager
CONTINUE
Refund Policy
Thank you for registering for one of the
Heart & Sole Futsal Winter Session
programs
.
You may cancel your registration up to one week prior to the start of the training session you have registered for and receive a refund of your fees
minus a $50 administrative fee
.
After one week prior to the program you have registered for, no refunds will be given.
Contact Info
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