Tournaments will incur additional charges. To register, either fill out the online form and pay via PayPal (submitting form will direct you to PayPal) or download and print the registration form HERE.
First Name (required)
Last Name (required)
Zip Code (required)
Player Email (required)
Player Phone (required)
Date of Birth (required)
Parent/Guardian Name (required)
Parent/Guardian Email (required)
Parent/Guardian Phone (required)
Emergency Contact Name (required)
Emergency Contact Phone(required)
Food/Drug Allergies (required)
I, parent/guardian of above name minor, agree that I and the player will abide with the rules and regulations of Umoja Saint Louis Soccer Club and it's sponsors. In consideration of the player's participation in the soccer programs intending to legally bound, we hereby release and indemnify Umoja Saint Louis Soccer Club, the owners and operators of the facilities used for the Program and their respective directors, officers, employees agents and representatives from and against all claims, liabilities, damages or causes of actions arising out of or in connection with the player's participation in the Programs including, without limitation, player's transportation to/from any Program, which transportation is hereby authorized. I further grant Umoja Saint Louis Soccer and their sponsors the right to use player's name, picture and/or likeness in printed, broadcast and other material concerning the Programs provided such use is related to the player's status as a participant in the Programs.
By checking this box, I , and/or agree to the terms listed above.
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