This form was created and is being processed using the free version of allForms, a web form service. If you find the page below to be suspicious or fraudulent, please

Soccer Registration
Questions marked by * are required.
1.	Child's First Name *
2.	Child's Last Name *
3.	Parent/Guardian Name(s) *
4.	Parent/Guardian primary phone: *
5.	Secondary phone
6.	Mailing Address *
7.	City *
8.	Postal Code
9.	Email: *
10.	Child’s birth date: *
11.	Age of Child when camp starts *
12.	Gender * Male Female
13.	Child’s Health card #
14.	Emergency Contact Name *
15.	Emergency Contact Telephone *
16.	Relationship to child: *
17.	Family Doctor Name
18.	Family Doctor Phone #
19.	Please list any allergies, medical or other special conditions the High Power Soccer team should be aware of
20.	Your Name
21.	Today's Date