MHAA

Minot Hebron Athletic Association

Register Here!

2010 SOCCER REGISTRATION

***Please print this form and send it along with your payment to:
MHAA PO Box 33 Minot Me. 04258***

*Player's Name:___________________________Date of Birth:__________ Child's Grade:________ (as of August 31st, 2010) *Child's Shirt Size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra-Large
*Child's History
*
*Guardian/Mother's Name *Guardian/Father's Name *E-Mail Address *Telephone # Telephone # (Cell) Parent/Guardians - WE NEED YOUR HELP. Which one of the following best suites your ability?
Coach
Manager
Score Keeper
Team Mom/Dad
Facility Maintenance
Uniform Agreement: I agree to return my child's uniform to the Minot Hebron Athletic Association (MHAA) promptly at the end of the season. I understand that if the uniform is not returned properly I will be subject to $100 charge to replace the assigned items. I also understand that if the uniform is not returned, and no fee has been paid, my child will be ineligible to play in ANY sport offered through MHAA.

Release Agreement: I the Parent'guardian of the above named child, do hereby give approval and consent to his/her participation in any and all activities held by the MHAA during the current season. We do further release, indemnify, and hold harmless the MHAA and all organizers and officers. In case of injury to my child, I hereby waive all claims against the MHAA and all organizers and officers.

Photo Release/Consent: I give permission for the MHAA to take and use photos of my child in advertisements, fliers, web-site pages, newspapers, and other publicly displayed areas for promotional purposed. My child's name shall not be used in conjunction with his/her picture unless other permission is granted.

*Date Signed *Parent/Guardian Signature *
*Check #
Please print the form out and mail it to Minot Hebron Athletic Association with your payment.