United Sports - Initial Registration Form
Monthly Sports Program
  • Preferred Sport(s)

  • Click one or as many as you like
  • PRACTICE LOCATION

  • PARENTS INFORMATION

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  • *You will be Trained, Fingerprinted and Screened by the City Prior to Coaching and your Child will Discounted/Waived
  • CHILD #1 INFORMATION


  • CHILD #2 INFORMATION


  • CHILD #3 INFORMATION



  • INSURANCE INFORMATION

  • HOW DID YOU HEAR ABOUT US?

  • This will help us in our outreach marketing
  • Your child must be covered by a private insurance, you must provide us with proof of your child’s insurance coverage. I give consent for my child to take part in the activity and consent to emergency treatment as necessary. I accept that the organizers and their employees are not under any liability whatsoever in respect of injury, loss or damage whilst on the course, other than imposed by law. I also allow USC to take photos for advertising and promoting purposes only; if you do not want your childs photo to be taken please email unitedsoccerclub@gmail.com I confirm that my personal insurance is correct and bears responsibility in case of accidents. I confirm that I am legally entitled to give this consent and understand all payments received are non-refundable.
  • I understand that if I want to Cancel my subscription, I must text 305 614 6935 prior to the automation date to request cancelation. There will be a $15 Reg fee to Re-Signup once cancelled initially