Player Details - Step 1 of 3

Player's full name *

Date of birth *

Year/Month/ Day

Gender *

• Female
• Male

Team Name / District Association *

Next

Parents First and Last Name *

First

Last

Phone

Email *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Next

Special medical condition(s) or medical alerts (Inch. Allergies)

Emergency Contact Name *

Emergency Contact Phone #

Parent Consent and Liability Waiver: I consent and assume all risks and hazards of and incidental to the participation of the above–named child in the activities of the European Football School, and agree to indemnify the said organization and its staff and members, against all loss from any claim hereafter made against it or them or any of them by or on behalf of the said child and arising directly or indirectly from such participation, including transportation. Parent's Signature (Print name below) *

First

Last

Name

Completed