Pleasure Island Soccer Association PO Box 1868, Carolina Beach, NC 28428
Rec Registration-Fall '19
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Spring 2019 Academy Registration
Spring 2019 Academy Fee: $185
* 8 professional training sessions (10 if playing in final tournament)
Indicates required field
enter this format: MM/DD/YYYY
Email will be used as primary communication. Make sure address is typed correctly.
I am interested in playing the final tournament on May 20
2009 & 2010 players eligible to play in end-of-season tournament. Entry will be based on interest. Separate sign-up and fee will be sent.
By clicking the Submit button below, you agree to have read the following Liability Waiver & Medical Consent.
You will then be directed to the online payment page to complete the registration process.
We/ I, as the parent/legal guardian of the player named above, do hereby declare our intent to allow this child to practice, play, and participate in all programs and activities associated with the Pleasure Island Soccer Association, including any related activities and transportation. We/ I hereby release and hold harmless from any and all liability; Pleasure Island Soccer Association, its coaches, sponsors, associated board members and personnel, officials, or any others associated with this organization against any claim by or on behalf of the player’s participation in this program.
Any photos taken of players for player cards, team photos or action photos I give consent to PISA to use for website and purposes for exhibit & promoting PISA programs.
We/ I do hereby authorize Pleasure Island Soccer Association or any representatives including coaches, officials, or anyone associated with this organization, if after reasonable attempt has been made to reach the designated parent/guardian named above to consent, or if sound medical practice decrees that there is not time to make such an attempt, to consent to any x-ray, anesthetic, medical or surgical diagnosis or treatment or hospital care, to be rendered to the player under the general or special supervision and on the advise of any physician, dentist or surgeon duly licensed to practice, be indeed rendered to the Registrant.
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