Summer I 2008 (Individuals 18 & Older)
Individual Online Registration

VERY IMPORTANT:  Please use the TAB key to advance to the next field.  Using the ENTER key to advance to the next field will send the form immediately and cause you to send an incomplete form.

Referee and Player Fees

All players must pay a $10 I.D. Card fee (valid Nov. 1, 2007 - Oct. 31, 2008) and a $50 player fee before their first game.  A $10 discount will be extended on additional fees for players playing on multiple teams.

Waiver of Claim Agreement of Terms & Conditions

You must agree to the terms and conditions of the Kids, Incorporated Waiver of Claim in order to complete this online registration form.  Before proceeding, please review this document by clicking here.

 

I acknowledge that I have read, understand, and agree to the terms and conditions of the Kids, Incorporated Waiver of Claim.  The original copy of this online registration form will become part of the official record at Kids, Incorporated.  A copy may be requested at our office located at 27th & Osage in the Kids, Incorporated WareHouse or at the Sportsplex located at 33rd & Osage.

Please enter the full name of the individual accepting responsibility for the terms and conditions of the Kids, Incorporated Waiver of Claim.

Name of Individual Accepting Responsibility:                           

Participant Information

Event:  
Team Name   
Coaches Name  
Are You Currently On A Team:    Please Note: Teams participating in our competitive indoor soccer program will be formed by coaches and/or parents seeking an advanced level of play.  Kids, Incorporated is not involved in the actual team formation process.
Gender:  
League:  
Age: (as of July 31, 2007):  
Birthdate:  
Participant's First Name:  
Participant's Last Name:  
Address:  
City:  
State:  
Zip:  
Home Phone:  

Parent/Guardian Information
(Only if Participant is under the age of 18)

Your Relationship To This Child:  
Parent/Guardian First Name:  
Parent/Guardian Last Name:  
Address:  
City:  
State:  
Zip:  
Daytime Phone:  
Alternate Phone:  
Email Address:  
Emergency Contact:  
Emergency Contact Phone:  

Existing Medical Conditions

Does this participant have any disabilities, handicaps, present injuries or limitations, allergies, hemophilia, heart condition, history of respiratory illness or any other significant medical condition?)

      If yes, please state conditions:

 

BEFORE you submit your form, please make sure that all fields are complete.  Our system will time-stamp your form automatically.  Thanks for your participation in our program!  A confirmation page should appear after you click the submit button.