Soccer Tennis Tournament

Team Name *

Player 1 First Name *

Player 1 Last Name *

Player 2 First Name *

Player 2 Last Name *

Division *

Male Age Group

Female Age Group

Primary Contact's Name *

Primary Contact's Email Address *

Primary Contact's Phone Number *

Registration Fee $125.00 *

Registration $125.00

Soccer Tennis Disclosure: Parental/Guardian/Self Statement Release and Consent Form: The undersigned certifies that his/her child/self is physically fit to participate in the soccer tennis tournament. By registering, I, the parent or guardian/self, do hereby release coaches and all parties associated with the St. Joseph Activities from any liability or medical claims my child/self may acquire while in attendance at said activity. The activity staff has my permission to seek medical attention for my child/self should the need arise. * *

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