2024 Soccer Registration - Trinity Baptist Church - Keystone Heights, FL

Please complete this form to register your child in our 2024 soccer season.

Participant Information

Participant's Name

*

Gender

*

Please select one option.

Male Female

Birthdate

*

Age as of September 1, 2024

*

Please select one option.

3 4 5 6 7 8 9 10 11 12 13 14

Grade

*

Please select one option.

Pre-Kindergarten Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th

Parent/Guardian Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Authorized Pickup (1)

*

Authorized Pickup (2)

Permission Release

*

Please select all that apply.

As parent or legal guardian, I hereby give permission for my child (listed above) to participate in activities offered by—or on the campus of—Trinity Baptist Church.

Payment and Medical Release

If you have not paid in person or have not filled out the medical release form for the 2024-2025 year, please do so by clicking on the links that will be given after you hit the "Submit" button below.

Parent Signature

*

Description

Please complete this form to register your child in our 2024 soccer season.

Please Fix the Following

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