Fall 2007 ABYS Coerver Coaching Form

By filling out this online form, I am hereby requesting that my son/daughter be registered for the Coever’s Coaching Soccer Clinics as detailed in this document. I understand that the directors, staff and representatives of either Coever Coaching New England, Acton Boxboro Youth Soccer or Concord Road Field will not be held liable for any injuries to my child which result in medical, dental or other associated expenses. I confirm that my child has no medical condition, which would prevent him/her from participating fully in the exercises or other soccer-related activities.

Player's Name (First & Last):
Street Address:
City:	St: Zip
Email:
Player's age group (Fall 2007):
Town or Travel:
Date of Birth:
Parent or Guarding Name:
Returning Participants Only:
Phone Number:
Comments: