Please select the team that you are registering for:        Girls U10 GoldGirls U10 EmeraldGirls U10 RoyalGirls U12 GoldGirls U12 EmeraldGirls U14 GoldGirls U16 GoldGirls U14/ U16 EmeraldGirls U17 GoldGirls U19 GoldBoys U10 GoldBoys U10 EmeraldBoys U10 RoyalBoys U11 GoldBoys U12 GoldBoys U13 GoldBoys U14 GoldBoys U15 GoldBoys U15 EmeraldBoys U16 GoldBoys U17 GoldBoys U19 Gold

Last Name:First Name:
Street: Town: Zip:
Phone:Sex:                MaleFemale Birth date (mo/day/Yr):
Age on August 1st of 2009 (see the for a reference):                678910111213141516171819

E-Mail Address:
Medical Conditions: (allergies):

Father's Last Name:First:
Phone:Cell#:Email:
Father will help with Team:YesNo How:

Mother's Last Name:First:
Phone:Cell#:Email:
Mother will help with Team:YesNo How:

Emergency contact:
Phone:  Relation:
Doctor:Phone:

Parents will assist with (To select more than one hold down Ctrl): CoachAssistant CoachField PrepTournamentWebsiteMiscellaneous

______________________________________________________________
Please print out and Mail a completed Parents Code of Ethics, photo and Medical Release Form found at the link below
HAMBURG MONARCHS SOCCER CLUB

PARENTS CODE OF ETHICS AND MEDICAL RELEASE FORM
 

PHOTO RELEASE:
I hereby grant permission to the Hamburg Soccer Club to use my photograph on its World Wide Web site or in other official Hamburg Soccer related printed publications without further consideration, and I acknowledge the Club’s right to crop or treat the photograph at its discretion. I also acknowledge that the Club’s may choose not to use my photo at this time, but may do so at its own discretion at a later date.
I also understand that once my image is posted on Hamburg Soccer Club's website, the image can be downloaded by any computer user. Therefore, I agree to indemnify and hold harmless from any claims the following:
Board Members, all coaches, and all volunteers of Hamburg Monarch Soccer Club
Hamburg Monarch Soccer Club reserves the right to discontinue use of photos without notice.I hereby grant permission to HSC to use my photographI DO NOT grant permission to HSC to use my photograph

E-Mail Addresses:
This application will not be processed without an email address for either the child and or the parents.


REFUND POLICY:
There will be no refunds once the fees are paid. If there are any concerns, the Board of Directors for Hamburg Monarchs Soccer Club will meet to discuss any issues or special circumstances that may arise.

PAYMENT DUE DATE: october 1^st 2008

Please Mail:

1. a Completed PARENTS CODE OF ETHICS, photo AND MEDICAL RELEASE FORM

2. payment of $140.00 registration due by october 1^st 2008.

3. a copy of your confirmation page

to:

Hamburg Soccer Club
780 Abbott Road
Buffalo, NY 14220
 

If you already have a Monarch soccer jersey, what is your current jersey number?  

If you need to order a new uniform or individual uniform items we will be having a fitting in the near future. Please watch the club web site and your email for more information.

uniform order form

After clicking the submit button please print the confirmation page for your records. Thank you.

If you are entering similar data for multiple players, after clicking submit print the confirmation, and then return back the the form page. Change only the data that is different and then submit and print the form again.