Player Information

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* 1. League Name

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* 2. Division

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* 3. Team Name

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* 4. Player First Name

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* 5. Player Last Name

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* 6. Parent/Guardian Name (if under 18)

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* 7. Player or Parent/Guardian (if under 18) Email

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* 8. Player or Parent/Guardian (if under 18) Phone Number

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* 9. Date of Birth (MM/DD/YYYY)

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* 10. Gender

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* 11. Season

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* 12. Emergency Contact

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* 13. Players are required to wear proper equipment/footwear.

NO REFUNDS or make-up games will be given due to absences.
NO REFUNDS will be given once a season has started. At the league administration's discretion, the player will receive credit for upcoming events/league.

Any team that forfeits two games will be disqualified

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* 14. I hereby certify that the information on this form is correct and that I have read and fully understand requirements and refund policies.  With respect to any claims for injury (including injury causing death) and any claims for loss of, or damage to property.  I/We agree to the following: (1) the city/contractor shall not be liable or responsible for any of these claims and (2) we release the city/contractor from any responsibility or liability for these claims and agree not to sue the city/contractor on any of these claims.  Specifically, I verify that my child is in good physical health and able to participate in the Houston Parks and Recreation Department's  Fundraising Soccer Leagues.

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* 15. Player or Parent/Legal Guardian (if under 18) Signature

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