Player registrationadmin2018-02-02T13:47:23+00:00 Player registration Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Team Name*Atletico NacionalAtletico San FranciscoBobcatsCampecinosCF EstudiantesFc PetalumaFc ScorpionsLos AztecasPegassoSauzSantosTauro FCZaragoza HidalgoPick the team that you will be playing with.Email* Phone*Date of Birth* If you are under 18 you must have a parent sign a waiver giving you permission to play. We reserve the right to ask any player for proof of age. Failure to do so can result in being removed from your team roster.Player Registration Fee* Price: $25.00 Picture Upload*•NO HATS •NO GLASSES •NO SIDE PICTURES Total $0.00 Payment Method*All the transactions are secured and encrypted.Credit Card PaymentCash PaymentCredit Card* American ExpressDiscoverMasterCardVisaJCBMaestro Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name If you choose to pay with cash you must come into the office to pay in order to be added to the roster.RELEASE OF LIABILITY: I AGREE TO HOLD FC SOCCER, THE FC SOCCER LEAGUE, IT’S OWNERS, THE COUNTY OF SONOMA, AND ANY MEMBERS FREE AND HARMLESS FROM ANY AND ALL LIABILITY ARISING FROM ANY INJURY OR HARM THAT I MAY INCUR WHILE PARTICIPATING IN ANY FC SOCCER LEAGUE ACTIVITY. I UNDERSTAND THAT ANY LIABILITY, INCLUDING EXPENSES ARISING FROM INJURIES, WILL BE BORNE BY ME OR THROUGH MY OWN TEAM OR PERSONAL INSURANCE. I FURTHER AGREE TO DEFEND AND INDEMNIFY THE FC SOCCER LEAGUE FROM ANY CLAIMS BROUGHT AGAINST MY TEAM OR INDIVIDUAL TEAM MEMBERS FOR CONDUCT DURING ANY FC SOCCER LEAGUE ACTIVITY.Disclosure* I have read and agree with the Fc Soccer League terms and conditions This iframe contains the logic required to handle AJAX powered Gravity Forms.