Goals for Girls presented by Chevron

Goals for Girls presented by Chevron provides free soccer programming and development to girls in the greater Houston area.

During the Goals for Girls Program, Dynamo & Dash Charities will provide free coaching for girls aged 6-12 for 90 minutes, once a week for six weeks at each location. Players will receive a Houston Dash T-shirt, a soccer ball, and more giveaways! Register for one location or all the locations below to be a part of the fun!

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* Participant Name

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* Participant Gender- Please note this program is only open to Girls.

Female

Male

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* Participant Age

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* I would like to continue in the Goals for Girls Program at the following Park(s).

Freed Park: Mondays, 5:30-7:00 PM, September 8 - October 13

BakerRipley Gulfton: Mondays, 5:30-7:00 PM, October 20 - November 24

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* Parent/Guardian Name

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* Parent/Guardian Email

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* Parent/Guardian Phone

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* Zip Code

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* Use parent/guardian information above as emergency contact information?

Yes

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* Emergency Contact Name

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* Emergency Contact Email

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* Emergency Contact Phone

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* Does the participant have any medical conditions, health concerns, allergies or special needs that we should be aware of?

Please review the "Release and Waiver of Liability" for the Chevron Goals for Girls camp.

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* Review the above document and provide each of the signatures below.

Parent/Guardian Digital Signature

Participant Digital Signature

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* You would like to receive advertising and promotional material from Houston Dynamo FC, Houston Dash, Major League Soccer, National Women’s Soccer League, Soccer United Marketing and/or each of their respective affiliates.

Yes

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* You expressly consent to receiving calls and messages, including text messages using automated technology, from us, our affiliates, marketing partners, agents and others at our request or on our behalf, at any telephone numbers that you have provided or may provide in the future for informational, promotional or marketing purposes. Message frequency may vary. Standard message & data rates apply. You may opt-out of receiving text messages at any time by sending a reply text message with the word “STOP”. Text HELP for more information.

Yes

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* By answering, "Yes", and submitting this form, you acknowledge that your information will be used by Houston Dynamo FC, Houston Dash or their respective affiliates (collectively, “Dynamo”), to communicate with you regarding your submission and as otherwise set forth in the MLS Privacy Policy and NWSL Privacy Policy and affirmatively consent to the use, collection and/or transfer of any personal data by Dynamo.

Yes