Marin Football Club, Inc. (Marin FC)

UNDER DEVELOPMENT

Registration Form NOT Available
PLEASE NOTE -- THIS PAGE IS NOT ACTIVATED. PLEASE DO NOT USE THIS TO REGISTER. CONTACT YOUR TEAM MANAGER FOR FURTHER INFORMATION.

Registration

	First Name*:	Middle Initial: Last Name*:
	Mailing Address*:
	City*:	State: Zip:
	Email*:	Phone*:
	Date of Birth* (MM/DD/YY):	Gender*:
	Team*:
	Grade*:	School*:
	Parent1 Name*:
	Parent1 Email*:	Parent1 Phone*:
	Parent2 Name:
	Parent2 Email:	Parent2 Phone:
	Emergency Contact*:	Emergency Phone*:
	Health Plan*:	Number:
	Doctor*:	Dr Phone*:
	Medical Issues:
	Previous Injuries:
	Amateur Athletic Minor Waiver And Release Of Liability	In consideration of being allowed to participate in any way in the Marin FC athletics/sports programs, and related events and activities, the undersigned: Release goes here. Name of person completing this form: I HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS. By clicking here I represent that I am the parent or guardian of the minor athlete being registered on this form for Marin FC and my click is my signature for this waiver and release.