Fairview Aggie Soccer Membership Form 2015-16 School Year

Please complete this form for EACH soccer player in the Fairview Aggie Soccer Program. It is VERY IMPORTANT that you list the cell number where you will get informational texts in the cell # blank. We will be utilizing Remind 101 along with emails and other possible forms of electronic communication throughout the year. PLAYERS: It is YOUR responsibility to keep parents/guardians informed about all information given to you by your coaches. We will also have a “Team Parent” for each team that will do their best to send out informational texts or emails.

Be sure to join ourgroup on Facebook: Fairview Aggies Soccer NEW WEBSITE:

PLAYER INFORMATION:

Name: ______Grade:______

Player Cell #: ______Player Home #: _____Player email: ______

Player Mailing Address: ______City:______Zip:______

PARENT OR GUARDIAN INFORMATION:

Mother/Guardian: ______Cell #:______

Home Phone:______Alternate Phone: ______Email:______

Father/Guardian: ______Cell #: ______

Home Phone: ______Alternate Phone:______Email:______

Membership Dues and Player Costs

Player Fees include: full uniform (except for cleats & Shin guards), field maintenance, tournament fees, pre-game snack for away games, team equipment and booster club membership dues. Additional warm-ups (optional) will be available for purchase for an estimated $75 per player.

FEES: $200.00 per player – a portion of your ad sales will be applied to your fees. There will be several fundraisers before the season begins that may be applied to your fees. Part of this $200 is the Activity Fee. A $50 Activity Fee is due by November 6th, 2015.

Agreement & Signature:

I affirm that the facts set forth in this document are true and complete. I will fully support Fairview Aggie Soccer and will accept responsibility for player costs/membership dues for my player. I understand that failure to do so WILL result in the loss of booster club support for my player.

Parent or Guardian (printed): ______

Parent or Guardian Signature: ______Date:______

PHOTO & VIDEO RELEASE:

Fairview Aggie Soccer has my permission to use and release all photo images and videos of the player named above and by signing this release I understand this permission signifies that photographic or video recordings of player named above may be electronically displayed via all possible media outlets including the soccer booster club website, Facebook page, Twitter account, FHS website, and other various forms of electronic andprint media. By signing below, I agree to the previous statement and release of photo/video images of above named player.

Parent/Guardian Signature: ______Date: ______

I DO NOT GIVE PERMISSION FOR THE ABOVE PLAYER’S PHOTO OR VIDEO IMAGES TO BE RELEASED IN ANY FORM OF MEDIA.

Parent/Guardian sign & date: ______