Club Registration Membership Information You have selected the One Player Monthly Membership membership level. This option will register a single player for monthly club membership. The price for membership is $80.00 per Month. Do you have a discount code? Click here to enter your discount code Discount Code Account Information Username Password Show Password Confirm Password First Name Last Name Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here Parent Information Parent 1 Full Name The full name of the player's parent (e.g. "John Doe") Parent 2 Full Name (Optional) The full name of another parent of the player (e.g. "Jane Doe") Parent Phone Number A phone number where one parent can be reached. Acknowledge Photo Policy We like to share the great things happening with our club, including player achievements and celebrations. Your player's likeness/name may be used on our Website, Social Media, and/or News Media. By checking this box you acknowledge that you understand the above, and that if you wish for your child's likeness/name to not be used you will need to contact Coach Collingham to sign the Photo Exemption Form. Digital Signature Consent By checking this option, you consent to using a digital signature for signing the waivers. Player 1 Information Player 1 Full Name The full name of the player (e.g. "Jane Doe"). Player 1 Date of Birth Used to determine the age of the player only. Player 1 Email Address (Optional) An email address for your player. Player 1 Phone Number (Optional) A phone number for your player. Player 1 and Parent agree to the Code of Conduct Waiver Please read the Code of Conduct Waiver. Checking the box above acts as your digital signatures. Player 1 and Parent agree to the Travel Waiver Please read the Travel Waiver. Checking the box above acts as your digital signatures. Player 1 and Parent agree to the Liability Waiver Please read the Liability Waiver. Checking the box above acts as your digital signatures. Player 1 and Parent agree to the Medical Waiver Please read the Medical Release Waiver. Checking the box above acts as your digital signatures. Choose Your Payment Method Pay with PayPal Pay by Check While the PayPal option is preferred, we do offer a Pay by Check option for those that are not comfortable with using PayPal for online payments. When paying by check, you may proceed to SUBMIT AND CHECK OUT below, and your account will be credited once your payment has been confirmed. Please contact coach Collingham at mcollingham@gmail.com for details on who to make your checks out to and where to send them. For recurring payments such as the monthly club membership fee you will receive a reminder 7 days prior to the payment date, and another reminder 1 day after if your payment has not been recorded yet. If you have pre-paid for multiple months you may disregard these reminders. Check Out With PayPal Processing...
