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Player Registration
Winter Evaluation January 2025
1
Complete Form
2
Payment
3
Confirmation
Option:
--Select--
Registration
Price:
$0.00
Description:
Winter Evaluation January 2025
= 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-
2018
2019
2020
2021
2022
2023
Age Group by DOB:
Select Month/Day/Year
I would like to play up
Desired Age Group
--SEL--
U07 (2018)
U08 (2017)
U09 (2016)
U10 (2015)
U11 (2014)
Forward:
Midfielder:
Defender:
Keeper:
CURRENT TEAM
CURRENT COACH
School
('24-'25)
:
Questions/Comments
Photo:
Note:
Photo should be in portrait format and of type JPEG with a file extension of .jpg.
It will be scaled to 240 wide x 360 high (pixels).
Click
here
for more information.
Approvals
As parent/legal guardian of the child named herein, I hereby represent that the child has been examined by a pediatrician and is physically fit to participate in KC Legends programs. I understand there are inherent risks in participating in this athletic program. I hereby accept responsibility for and agree to pay any and all costs of medical treatment resulting from any injury suffered by my child as a result of his/her participation in this registered program. I further agree to indemnify and hold harmless HappyFeet-Legends International, Inc., its agents, servants, employees and/or representatives from any and all liability, damage, cost or expense arising out of my child’s participation, of every kind and nature, in KC Legends events. In the event that I cannot be reached in an emergency, I hereby give permission for care to be administered by a qualified HappyFeet-Legends International, Inc. staff member, EMT, physician/staff of a hospital, or any other qualified individual to provide any medical treatment deemed necessary for my child.
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
Add Another Player
CONTINUE
Refund Policy
Contact Info
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