Truth Sports League Registration Form
Please provide the information below to preregister your child. Please submit one form for each child.
Child's name:
Boy or girl:
Child's date of birth:
Your e-mail address:
Your phone number:
Parent or guardian name:
Parent or guardian street address:
Medical information:
Medication:
Reasons for medication:
Allergies:
Date of last tetanus shot:
Emergency contact name:
Emergency contact number:
Please add any comments or questions:
By checking this box, I hereby give permission to the physician selected by the church to hospitalize, secure proper treatment for, order injection, anesthesia or surgery for the above-mentioned child. I also certify that the child is in good physical condition and is able to fully participate in the soccer program. I will not hold Truth Baptist Church responsible in case of sickness or accident.