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Osceola Soccer Club Summer and Fall 2023 Registration
Osceola Soccer Club Summer and Fall 2023 Registration
Player Name
*
Player Birthday
*
Player Gender
*
Male
Female
Jersey Size
*
YS
YM
YL
YXL
AS
AM
AL
AXL
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
ZIP / Postal Code
*
Parent Name
*
Parent Name #2
Email
*
Cell Phone
*
Would you help coach at practices?
Yes
No
Which Programs are you Registering For?
*
Osceola City Stars (plays in Jonesboro)
After School Skills Academy (Osceola School District grades 1-4; Thursdays in August)
Consents
*
I/We have read, understand and agree to comply with the Consent for Medical Treatment (Minor) as outlined below
I understand that NO PETS ARE ALLOWED at soccer events, with the exception of service animals
I understand that NO SMOKING is allowed at any practice or game facility, in Osceola or Jonesboro
Consent for Medical Treatment (minor): As the parent or legal guardian of the above named player, I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.
Does Child have medical insurance?
*
Yes
No
Register