Registration Form – Credit Card option

REGISTRATION FORM

Please fill out the following registration form and remember to click the SEND button, your confirmation message will be show at the top of the page:

    PARENT/GUARDIAN

    Surname (required)

    Given Name (required)

    Your Email (required)

    Phone Number (required)

    Address

    PLAYER(S)

    Player 1 - Full name

    Gender

    Age:

    Birthday: Day: Year:

    Player 2 - Full name

    Gender

    Age:

    Birthday: Day: Year:

    Player 3 - Full name

    Gender

    Age:

    Birthday: Day: Year:

    PAYMENT INFORMATION(S)

    Transaction Date

    Transaction Number

    As parent/guardian of the above player(s), I agree to hold harmless Sports4Life and staff members for injuries and other incidents that may result in my child’s participation in the above activity. Further, I have current medical insurance coverage, agreeing to assume all responsibilities if such expenses arise from injuries sustained in the activity. I also, hereby give my consent to Sports4Life to use my child’s/participant’s images/photos and to be posted on the Sports4Life network and to display his/her name with the associated images or videos.

    By entering my name below, I agree to the Sports4life Agreement and Waiver 




    Full Name (required)