Player Registration

ISC INDOOR FUTSAL LEAGUES (SESSION I -November 2018-January 2019)

Option:  

Required  Price: 
Description: 
 = Required Field

 Player Information

 
 
 
 
  Select Month/Day/Year
 
 

 MEDICAL WAIVER

I understand and accept the condition that the Iowa Soccer Club, or anyone associated with this league does not assume responsibility for accidents and medical or dental expense incurred as a result of participation in the league. The player is in good health and able to participate in the physical activity required. I hereby authorize the league officials to act for me according to their best judgment in an emergency requiring medical attention. My child is fully covered by our personal family health plan in the event of sickness or injury.


 CONTACT INFORMATION

GUARDIAN #1

 
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 
GUARDIAN #2

 
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 

 Refund Policy

N/A

 Contact Info