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Futsal 2017/18 Online Registration Form - TEAM

Please fill out the form on this page very carefully. Once the form is submitted correctly,
you will be taken to a secure payment page where you will be able to take care of payment via PayPal or a credit card.
The online payment includes a processing fee.



Select Futsal Session Location

 Meadowview Elementary School - MVES Robert Boeckman Middle School - RBMS Friendly Hills Middle School - FHMS

Select MVES Futsal Session

 MVES-1(Nov 3, 10, 17; Dec 8) MVES-2(Dec 15; Jan 5, 12, 19) MVES-3(Jan 26; Feb 2, 9, 23) MVES-4(March 2, 16, 23, 30) No MVES Session

Select RBMS Futsal Session

 RBMS-1(Nov 4, 11, 18; Dec 2) RBMS-2(Dec 9, 16; Jan 6, 13) RBMS-3 (Jan 20, 27; Feb 3, 10) RBMS-4(Feb 17, 24; Mar 3, 10) No RBMS Session

Select FHMS Futsal Session

 FHMS-1(Nov 4, 11, 18; Dec 2) FHMS-2(Dec 9, 16; Jan 6, 13) FHMS-3 (Jan 20, 27; Feb 3, 10) FHMS-4(Feb 17, 24; Mar 3, 10) No FHMS Session

TEAM Name:

Parent Name:

Parent Email:

Parent Telephone:

Please select phone type:

 Home Work Mobile

Participant's Name:

Participant's DOB:

Participant's Age:

Select Level of Play

 PR C1 C2 C3 REC


City, State and ZIP code:

Additional Info:

Waiver Acceptance:



I, the parent/guardian/participant, in registering, understand that he/she/I in attending the above program and using the facilities at which the program is conducted does so at his/her/my own risk. I.S.S.E., and its owners, employees and agents, shall not be liable for any damages whatsoever arising from any personal injury or property loss sustained by participating in or about any programs offered by I.S.S.E. I acknowledge that I am aware of the risk inherent in participating, that considerable physical exertion can be required; and could potentially lead to injuries; possible permanent disability and or death. Participants and parents/guardians assume full responsibility for all injuries and damages which may occur in or about any programs and he/she/I do or does hereby fully and forever release, discharge and hold harmless I.S.S.E., all associated facilities and its owners, employees and agents from any and all claims, demands, damages, rights of action, present and future resulting from or arising out of any participation in any programs or use of facilities. In addition, he/she/I agree(s) to follow all the result in suspension from participation. Also, he/she/I waive all rights to any photos taken for use in any I.S.S.E. publication.