FAST Registration Form
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  • Select all that apply
  • Jersey Size

    Please select from the following uniform sizes below for each category.
  • Parents Information

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  • Use this field for any additional email you want to include
  • Volunteers:

    Fast is a local group parents and needs the support of the parents of the children who participate. We need each parent to help with our concession stand at least once during the season. If you are able to step up and assist beyond that minimum level, please select from the following:
  • Select all that apply.
  • Disclaimer:

    I, the parent/guardian of the above named player, a minor, agree that the player and I will abide by the rules and regulations of US Club Soccer, its affiliated organizations and its sponsors (“US Club Parties”). In consideration of the player’s participation in the soccer programs and activities of the US Club Parties (the “Programs), I, for myself and the player and our respective heirs, administration and successors, intending to ne legally bound, hereby release and indemnify the US Club Parties, the owners and operators of the facilities used for the Programs, and their respective directors, officers, employees, agents and representatives from and against all claims, liabilities damages or causes of action arising out of or in connection with the player’s participation in the Program including, without limitation, player’s transportation to/from any Program, which transportation is hereby authorized. I further grand US Club Soccer Parties the right to use the players name, picture and/or likeness in printed, broadcast and other material concerning the program provided such use is related to the player’s status as a participant in the Program.
  • NOTE: Parents insurance is primary. This is a secondary insurance. FAST assumes no responsibility for any claim or insurance payment shortfalls.
  • Youth Club Registration Confirmation

    Club Name: F.A.S.T (Falconer Area Soccer Teams)
    City: Falconer
    State: NY
    Zip: 14733

    I hereby consent to the above club registering me with US Club Soccer. I understand that I may be registered to only one US Club Soccer member club at any time.
  • In an emergency when the parent/guardian cannot be reached, please contact the following:

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  • Please complete the following medical information

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  • MEDICAL TREATMENT AUTHORIZATION AND LIABILITY WAIVER

    I hereby give my consent to have an athletic trainer, team manager, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the applicant/participant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I understand treatment for injury will be based on information provided herein. I hereby authorize emergency transportation of the applicant/participant to a medical treatment facility should an individual listed above consider it to be warranted. I recognize the possibility of physical injury associated with soccer, and hereby release, discharge, and otherwise indemnify the club. US Club Soccer, their sponsors, the USSF and its affiliated organizations, and the employees and associated personnel of these organizations, against any claim by or on behalf of the soccer player named above as a result of the player’s participation in the US Club Soccer programs and/or being transported to or from the same, which transportation I hereby authorize.
  • Birth Certificate

    All players are required to have their birth certificate on file with FAST. If this is y our first year as a member or the organization, you will have to supply it. Please use the field below to electronically submit it with your application. If you need to submit it later, you application will not be accepted until the birth certificate is on file. Please contact the board a.s.a.p. to submit the player's birth certificate.
  • Digital Signature

    I hereby digitally sign this online form and agree that all of the above is correct.
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  • Mother, Father, Guardian