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Columbia Falls Youth Soccer 2011 Registration
P.O. Box 1181, Columbia Falls, MT 59912
Check our website for news!
www.cfyouthsoccer.org
P.O. Box 1181, Columbia Falls, MT 59912
Check our website for news!
www.cfyouthsoccer.org
Due June 15
CFYS is run by volunteers. We need you to volunteer in some way.
Please note below how you would like to help out!
____Age Group Coordinator ____Opening ay
____Coach ____Referee
____Making phone calls ____Miscellaneous
____Day Camp
Players Name _________________________________________________________________________
Gender _____ Grade fall '11_______ Birthdate _______________________________________________
Years soccer experience. Rec____ Select _____
Mailing Address ________________________________________________________________________
Parent's Names _________________________________________________ Phone: ________________
Email Address: _________________________________________________________________________
Two Emergency contacts with phone #'s ____________________________________________________
Waiver of Liability:
Upon registration the parent/guardian is aware that, as with any sport, there are inherent risks of injury
associated withplaying soccer and releases Columbia Falls Youth Soccer, its coaches, officials, board of directors, volunteers, and or the City of Columbia Falls from any liability.
Consent for medical treatment - Minor
Consent for medical treatment - Minor
I hereby give my consent for all medical treatment prescribed by a duly licensed doctor of medicine for
_________________________ as his/her parent/guardian the
medical care may be given
under whatever conditions are necessary to preserve life, limb, or well being of my dependent.
Child's Doctor's name_______________________________________________
Doctor's Office phone ______________________________________________
Parent/Guardian Signature___________________________________________ Date ______________
Registration Fee: $30 Fee for each additional sibling is $20 Payable to CFYS
Jersey's: $12 Youth sm(5-6) ____ med(7-8) ____ large (10-12) ____
Adult sm____ med____ large ____
Late registrations (between June 15 and July 15) are $45
Registration fees, Jersey fees (if you are gettin a jersey) and a Players Code of Conduct
(can be printed from this page) must be sent in with this form.