Coaches Registration Battle Ground Soccer

Coach Registration: Please fill out this registration form and submit. We will be in touch soon. Thank you for Volunteering Harford Sports Performance Center 121 Industry Lane in Forest Hill, MD 21050.

Coaches Name: *
Street Address Digits *
This will be your Team CodeStreet AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Coaches Contact Cell # *
Coaches Contact Email: *
Assistant Coach Name:
Assistant Coach Cell #
Assistant Coach Email:
Division *
Please enter your current statusClub B or Club CRec Travel TeamJust a Coach with Random PlayersContinuing Battle Ground Team
Age groups (Choose One): *
Payment *
How Would You Like To PayI would like to pay for my team upfrontI would like my parents to pay individually
I certify As the undersigned Parent/Legal Guardian of the Player named above I understand that my child will not be covered by any program insurance, and agree that I will not hold the team, the club, the coach, any instructors or Harford Sports Performance Center responsible for injuries received while participating in the above tryout and/or program.
Digital Signature *
YesNo
Date Signed: *