Registration

$599 Registration*

*$599 per season. Registration Fee does not include Uniform or tournaments.

$24 discount for Paying in Full

(By clicking the submit button you agree to the payment terms.)

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Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which Area Do You Live

We ask this for carpooling purposes.

Mother's Name/Guardian

First Name

Last Name

Mother's Phone

(###)

###

####

Father's Name/Guardian

First Name

Last Name

Father's Phone

(###)

###

####

Emergency Contact

Other than parent

First Name

Last Name

Emergency Contact Phone

(###)

###

####

LCUFC Photo Release Form

The LCUFC and its representatives will take many pictures of the players and coaches throughout the year to illustrate, for you and them, the many activities in which they are engaged.

These images may be used for promotional or publicity purposes and may be published in mass media publications or on social media.

By clicking the I Agree button below, I grant permission to the Putnam Impact to capture my child’s image during soccer-related activities, which may appear in the forms described above.

I hereby release and discharge LCUFC from any and all claims and demands arising out of or in connection with the use of the photographs, including without limitation any and all claims for libel or invasion of privacy.

I do this willingly, expecting no compensation or gratuity of any kind from LCUFC.

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