FC Freeze

Training Academy Application

Name (First, Middle, Last)
Street Address:
City:
State:
Zip Code:
Team Age Group
Sex:	Female Male
Age:
Date of Birth: (Mo./Day/Year)
Position:	Goal Field
School Attending:
E-mail Address:
Parent(s)/guardians Name(s):
Parent(s) T-shirt size:
Phone: (Home)
Phone: (Work)
Cell Phone:
T-Shirt Size: (youth or adult)
Player Shorts Size:
INSURANCE INFORMATION
Group
Number
Local Doctor/Hospital

I, agree to hold harmless the organization and directors of the Freeze FC for any actions resulting from our participation in the soccer training, coaching, travel and other general activities of the club.