EmailMe Form - Real So Cal Friday Night Ballers

Player Name *

First Last

Player Name

First Last

Player Name

First Last

Gender *

Male

Female

Gender

Male

Female

Gender

Male

Female

Birth date *

Birth date

Parent Name *

First Last

T-Shirt Size *

Are you a current Real So Cal or WVSL Member? *

Real So Cal

West Valley Soccer League

Not a member

Phone *

### - ### - ####

Contact Email *

Today's Date *

MM / DD / YYYY

Checkbox *

We agree to release, indemnify, and hold harmless West Valley Soccer League, Real So Cal, its officials, coaches, and/or representatives, and all training locations, from any claim arising out of our child's participation.

We certify that our child (children) are covered by an approved medical insurance plan.

Signature *

Clear