This registration form collects contact and personal information for players registering for the summer soccer session at R&R Soccer Training in 2014. It requests the player's name, address, phone number, email, club, position and date of birth. It also collects the same contact information for the player's parent or guardian and an emergency contact. The player or parent must sign agreeing to pay the $150 registration fee.

1. R & R Soccer Training
Player Registration Form – Summer Session 2014
Please Print Clearly
Player Information:
First Name:________________________ Last Name:________________________
Sex: M:____ F:____
Address:___________________________________ City:______________________________ Postal Code:_________________
Telephone #________________________ Cell #_________________________ E-Mail:______________________
Club Name:__________________________________ Position:_____________________________
Parent/Guardian Information:
First Name:________________________ Last Name:________________________
Address:___________________________________ City:______________________________ Postal Code:_________________
Telephone #________________________ Cell #_________________________ E-Mail:______________________
Emergency Contact:
First Name:________________________ Last Name:________________________
Telephone #________________________ Cell #_________________________
E-Mail:________________________________________
I agree to pay the sum of $150.00 deemed as my registration fee
Player Signature:_______________________________ Parent/Guardian Signature:_______________________________
(Players under 18 years of age must have their parent or guardian signature)
Date Of Birth(mm/dd/yyyy):_____________
Date(mm/dd/yyyy):_________