Player Name *

First Name

Last Name

Gender *

Male

Female

Birthday *

MM

DD

YYYY

Guardian Name (Primary) *

First Name

Last Name

Guardian Phone # *

(###)

###

####

Guardian Name (Secondary)

First Name

Last Name

Guardian Phone #

(###)

###

####

Player Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Early Bird Pricing $245: *

Payment is due immediately upon submitting your registration (venmo: @TridentFCsoccer or Zelle, or Check). We desire for everyone to be able to play. We have sponsorship options available to families in need. Note: We make financial commitments based upon your commitment to PLAY and PAY. To keep costs as low as possible we are not able to issue refunds.

I agree to pay promptly after registering

Please contact me for sponsorship options

Volunteer Buyout $65 *

As our needs for the club grow exponentially so does our need for help as we attempt to keep costs low. a) Commit to faithfully volunteer across a select list of options shown below OR b) Pay a small $65 volunteer buyout and simply just arrive (we use these funds to hire out certain activities that can't be covered by existing volunteers). This is INCREMETNAL to the registration cost:

I will donate $65 and look to help if I am able (preferred)

I will donate a $65 volunteer buyout

I commit to faithfully volunteer in an area of need

Jersey Purchase Request

NEW Players to Trident MUST select all options below (all items are provided at a flat fee of $40 for New players). Uniforms are the same as prior seasons. If you would like to purchase an extra Jersey (lost, outgrown, etc.) make a selection below:

Stripes Home Jersey $30

Solid Blue Away Jersey $30

Game Shorts $25

Game Socks $12

Participation and Liability Waiver *

Trident Football Club Medical Care, Consent, & Release Form: I certify that my child is in good physical health and has my permission to participate in all activities associated with the Soccer club. I authorize the coaches of the club to act in their best judgment in any emergency requiring medical attention. I authorize all medical, surgical, diagnostic, and hospital procedures as may be performed or prescribed by a treating physician for my child if I am unable to be reached in an emergency. I understand that any facilities used for hosting, all soccer coaches and staff, nor anyone else connected with the club assumes any responsibility for accidents (medical or dental) or other injuries incurred as a result of attendance during the season. I will furnish insurance for my child.

I Consent