LIFE SC

Players Name: _____________________________________ Age: _______Team name:____________

Parent/Guardian: ______________________________ E-maiAddress:______________________

Address: _____________________________________City:  _________________________Zip: _______

Home Phone: _______________________Emergency Phone:_______________________

I certify that the above information is correct and that my team/players is(are) fully capable to participate in the LIFE S.C. / Marcus Reis Futsal Training. In case of emergency, I give full responsibility to all staff of LIFE SC / Marcus Reis to give any medical treatment necessary. I take full responsibility for any accident or injuries that may occur during the LIFE SC / Marcus Reis Futsal Training.  I’m fully aware that all coaches of LIFE SC / Marcus Reis are free from any liabilities.

 Parent/Guardian Signature: _________________________________________________Date: _________