Player Name on Birth Certificate:
If different, name player uses:
Date of Birth:
Last Year's Club:
I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the Union Sacramento FC, its affiliated organization and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the Union Sacramento FC accepting the registrant for its soccer program and activities ("The program"), I hereby release, discharge and otherwise indemnify the Union Sacramento FC, its affiliated organizations and others, their employees and associated personnel, including the owners of the fields and facilities utilized for the program against any claims by or on behalf of the registrant as a result of the registrant's participation in the program and/or being transported to or from the game, which transportation I hereby authorize.
I agree. I disagree.