San Antonio Runners

Community • Leadership • Professionalism

2023 Men's Registration Form

2023 SA Runners Men Soccer Registration

<form-template>
	<fields>
		<field type="header" subtype="h1" label="SAN ANTONIO RUNNERS 2023 MENS SOCCER REGISTRATION FORM" class="header"></field>
		<field type="checkbox" required="true" label="By checking this box I confirm I have read the entire 2023 SA Runners Player Handbook before completing this form and payment." class="checkbox" name="by-checking-this-box-i-confirm-i-have-read-the-entire-2023-sa-runners-player-handbook-before-completing-this-form-and-payment" value="on"></field>
		<field type="text" required="true" label="By signing below I confirm I have read the SA Runners Player Code of Conduct and I agree to follow SA Runners Code of Conduct during the contracted term." subtype="text" class="form-control" name="by-signing-below-i-confirm-i-have-read-the-sa-runners-player-code-of-conduct-and-i-agree-to-follow-sa-runners-code-of-conduct-during-the-contracted-term-"></field>
		<field type="text" required="true" label="By signing below  I consent to the Participant's participation in San Antonio Runners Soccer Club  Inc. Activities and I certify that there is no medical reason why Participant should not participate in SA Runners Activities. I acknowledge that the nature of the Activities may expose Participant to hazards or risks that may result in Participant's illness  personal injury or death  and I understand and appreciate the nature of such hazards and risks.  In consideration of Participant being permitted to participate in SA Runners Activities  I hereby accept all risk to Participant's health, including an injury or death to Participant that may result from such participation, which participation includes all travel associated with SA Runners Activities, and I hereby release San Antonio Runners Soccer Club, its governing board, officers, representatives, employees and agents from any and all liability to Participant, Participant's personal representatives, estate, heirs, next of kin, and assigns for any and all claims and causes of action for loss of or damage to Participant's property and for any and all illness or injury to Participant's person, including his or her death, that may arise from or occur during Participant's participation in SA Runners Activities, WHETHER CONTRIBUTED TO OR CAUSED BY ANY NEGLIGENCE OF SAN ANTONIO RUNNERS SOCCER CLUB, ITS GOVERNING BOARD, OFFICERS, EMPLOYEES OR REPRESENTATIVES, OR OTHERWISE.  I further agree to indemnify and hold harmless San Antonio Runners Soccer Club, its governing board, officers, representatives, employees and agents from liability for the injury or death of any person(s) and damage to property that may arise, in whole or in part, from Participant's negligent or intentional act or omission while participating in SA Runners Activities, WHETHER CONTRIBUTED TO OR CAUSED BY ANY NEGLIGENCE OF SAN ANTONIO RUNNERS SOCCER CLUB, ITS GOVERNING BOARD, OFFICERS, EMPLOYEES OR REPRESENTATIVES, OR OTHERWISE." subtype="text" class="form-control" name="by-signing-below--i-consent-to-the-participants-participation-in-san-antonio-runners-soccer-club-inc-activities-and-i-certify-that-there-is-no-medical-reason-why-participant-should-not-participate-in-sa-runners-activities-i-acknowledge-that-the-nature-of-the-activities-may-expose-participant-to-hazards-or-risks-that-may-result-in-participants-illness-personal-injury-or-death-and-i-understand-and-appreciate-the-nature-of-such-hazards-and-risks--in-consideration-of-participant-being-permitted-to-participate-in-sa-runners-activities-i-hereby-accept-all-risk-to-participants-health-including-an-injury-or-death-to-participant-that-may-result-from-such-participation-which-participation-includes-all-travel-associated-with-sa-runners-activities-and-i-hereby-release-san-antonio-runners-soccer-club-its-governing-board-officers-representatives-employees-and-agents-from-any-and-all-liability-to-participant-participants-personal-representatives-estate-heirs-next-of-kin-and-assigns-for-any-and-all-claims-and-causes-of-action-for-loss-of-or-damage-to-participants-property-and-for-any-and-all-illness-or-injury-to-participants-person-including-his-or-her-death-that-may-arise-from-or-occur-during-participants-participation-in-sa-runners-activities-whether-contributed-to-or-caused-by-any-negligence-of-san-antonio-runners-soccer-club-its-governing-board-officers-employees-or-representatives-or-otherwise--i-further-agree-to-indemnify-and-hold-harmless-san-antonio-runners-soccer-club-its-governing-board-officers-representatives-employees-and-agents-from-liability-for-the-injury-or-death-of-any-persons-and-damage-to-property-that-may-arise-in-whole-or-in-part-from-participants-negligent-or-intentional-act-or-omission-while-participating-in-sa-runners-activities-whether-contributed-to-or-caused-by-any-negligence-of-san-antonio-runners-soccer-club-its-governing-board-officers-employees-or-representatives-or-1679798089976"></field>
		<field type="checkbox" required="true" label="By checking this box I confirm my guardian or I have signed the participation waiver before completing this form and payment." class="checkbox" name="by-checking-this-box-i-confirm-my-guardian-or-i-have-signed-the-participation-waiver-before-completing-this-form-and-payment"></field>
		<field type="text" required="true" label="By signing below I confirm my guardian and I have read the San Antonio Runners Soccer Club Standard Player Agreement and are in full understanding and agreement before completing this form and payment." subtype="text" class="form-control" name="by-signing-below-i-confirm-my-guardian-and-i-have-read-the-san-antonio-runners-soccer-club-standard-player-agreement-and-are-in-full-understanding-and-agreement-before-completing-this-form-and-payment-"></field>
		<field type="header" subtype="h3" label="After submitting this form and payment you will receive an email with a digital version of the Standard Player Agreement to sign and keep for your records. Once signed and the initial $50 fee paid  you will receive directions on how to register with the team online for this season." class="header"></field>
		<field type="text" required="true" label="LAST NAME" subtype="text" class="form-control" name="last-name"></field>
		<field type="text" required="true" label="FIRST NAME" subtype="text" class="form-control" name="first-name"></field>
		<field type="text" required="true" label="DATE OF BIRTH" subtype="text" class="form-control" name="date-of-birth"></field>
		<field type="text" required="true" label="PHONE" subtype="text" class="form-control" name="phone-"></field>
		<field type="text" required="true" label="EMAIL" subtype="text" class="form-control" name="email"></field>
		<field type="text" required="true" label="ADDRESS" subtype="text" class="form-control" name="address"></field>
		<field type="text" required="true" label="CITY" subtype="text" class="form-control" name="city"></field>
		<field type="text" required="true" label="STATE" subtype="text" class="form-control" name="state"></field>
		<field type="text" required="true" label="ZIP CODE" subtype="text" class="form-control" name="zip-code"></field>
		<field type="text" required="true" label="PLACE OF BIRTH (CITY  STATE  COUNTRY)" subtype="text" class="form-control" name="place-of-birth-city-state-country"></field>
		<field type="text" required="true" label="OCCUPATION" subtype="text" class="form-control" name="occupation"></field>
		<field type="select" required="true" label="JERSEY SIZE" class="form-control" name="jersey-size">
			<option label="ADULT MEDIUM" value="adult-medium">ADULT MEDIUM</option>
			<option label="ADULT LARGE" value="adult-large">ADULT LARGE</option>
			<option label="ADULT EXTRA LARGE" value="adult-extra-large">ADULT EXTRA LARGE</option>
		</field>
		<field type="select" required="true" label="SHORTS SIZE" class="form-control" name="shorts-size">
			<option label="ADULT MEDIUM" value="adult-medium">ADULT MEDIUM</option>
			<option label="ADULT LARGE" value="adult-large">ADULT LARGE</option>
			<option label="ADULT EXTRA LARGE" value="adult-extra-large">ADULT EXTRA LARGE</option>
		</field>
		<field type="select" required="true" label="SHORTS SIZE" class="form-control" name="shorts-1679795857103">
			<option label="ADULT MEDIUM" value="adult-medium" selected="true">ADULT MEDIUM</option>
			<option label="ADULT LARGE" value="adult-large">ADULT LARGE</option>
			<option label="ADULT EXTRA LARGE" value="adult-extra-large">ADULT EXTRA LARGE</option>
		</field>
		<field type="textarea" required="true" label="POSITIONS" class="form-control" name="positions"></field>
		<field type="textarea" required="true" label="PREVIOUS EXPERIENCE" class="form-control" name="previous-experience"></field>
		<field type="textarea" required="true" label="TOP 6 DESIRED JERSEY #'s" class="form-control" name="top-6-desired-jersey-s"></field>
		<field type="text" required="true" label="EMERGENCY CONTACT FULL NAME" subtype="text" class="form-control" name="emergency-contact-full-name"></field>
		<field type="text" required="true" label="EMERGENCY CONTACT NUMBER" subtype="text" class="form-control" name="emergency-contact-number"></field>
		<field type="text" required="true" label="RELATIONSHIP TO EMERGENCY CONTACT" subtype="text" class="form-control" name="relationship-to-emergency-contact"></field>
		<field type="select" required="true" label="DOMINANT FOOT" class="form-control" name="dominant-foot">
			<option label="RIGHT" value="right" selected="true">RIGHT</option>
			<option label="LEFT" value="left">LEFT</option>
		</field>
	</fields>
</form-template>