SUMMER SOCCER REGISTRATION 2019

For children from Kindergarten to Grade 8 as of the new school year in September 2019.
Dates: Wednesdays from July 3 to August 14 Time: 7pm Cost: Free Location: Centralia Faith Tabernacle
Requirements: Water bottle, running shoes and a great attitude! Families will be asked to provide a snack for their child’s team.
Parents/guardians of Kindergarten to Grade 1 are asked to stay on the field from 7-8pm until your child(ren) are released.


Parent/Guardian Name *
Parent/Guardian Name
Primary Phone Number *
Primary Phone Number
First Child's Information
Child's Name *
Child's Name
Second Child's Information
Child's Name
Child's Name
Third Child's Information
Child's Name
Child's Name
Fourth Child's Information
Child's Name
Child's Name
Release of Care
According to our Plan to Protect Policy your signature releases the care of your child(ren) over 12 to Centralia Faith Tabernacle from the time they are dropped off at CFT until they are picked up by a parent/guardian. This consent recognizes that all reasonable precautions will be taken to prevent accidents or injuries. Permission is given to allow supervision to seek emergency medical treatment. I have read and understand the Privacy Policy and Release of Care Policy above and I hereby acknowledge on behalf of my son/daughter to absolve the church for any liability whatsoever. PRIVACY POLICY Any personal information given will not be used or disclosed except for the purpose of the Summer Soccer program at Centralia Faith Tabernacle. Pictures and/or names of children may be used for the purpose of promotion, celebration and to give information both in-house and on our social media sites. To protect the privacy of our children, no names will be listed or tagged by CFT. Email will be used strictly for Summer Soccer purposes informing about upcoming events, cancellations, or changes occurring.
Consent *
By typing your name and submitting this form you are agreeing to all of the policies listed above.