Soddy Daisy Kids Club Registration
without online payment of fees
Please complete every box carefully before you click Submit or Enter.
Click Submit or Enter only once. You will be taken to a
thank you page. This form is used if you do not wish
to pay for you fees online.
 
If you wish to register and pay your fees online click here
(We are working on issues to again accept online payments)
 
 
 
By submitting the online registration form
you are agreeing to the
Soddy Daisy Kids Club bylaws,
rules and regulations
and the statements at
the bottom of this page
 
 
 

First Name:Last Name:MI:
Address:Address 2:
City:State:Zip Code:
Home Phone:Cell Phone:
Birth Date:Age:Age Group:
Sex:Sport:T-Shirt size:
All sports child has played:Where:
Sibling needs on same team:Name:
Parent/Guardian:
Parent/Guardian name:Home phone:
Work phone:Cell phone:
Parent/Guardian:
Parent/Guardian name:Home phone:
Work phone:Cell phone:
Emergency Contact:Phone:
List medical problems: DoctorPhone:
Parent wishes to Coach:Asst Coach:Volunteer:
Email Address:
Comments:
I, the parent guardian of the registrant, a minor, agree that the registrant and I will abide by the rules of the Soddy-Daisy Kids Club. I assume all risks and hazards incidental to such participation including transportation to and from the activities and do herby waive, release, absolve, indemnify and agree to hold harmless the parent, local league, ruling body, organization, the organizers, sponsors, supervisors, participants, and the persons transporting the said registrant to and from activities from all arising out on injury to them. CONSENT FOR MEDICAL TREATMENT: As the parent or legal guardian of the above named applicant, I herby give consent for emergency medical care prescribed by a duly licensed Doctor of medicine or dentistry. This care may be given under whatever conditions are necessary to preserve the life or well being of my dependent.:
 
 
 
I, AS PARENT OR LEGAL GUARDIAN AGREE TO TAKE PART IN ACTIVITIES TO SUPPORT THIS PROGRAM, SUCH AS, BUT NOT LIMITED TO CONCESSION STAND DUTY. SODDY DAISY KIDS CLUB NEEDS PARENTS TO WORK IN THE CONCESSION STAND EITHER BEFORE OR AFTER THEIR CHILD'S GAME. THE CONCESSION STAND RELIES ON PARENT OR VOLUNTEER
www.sdkidsclub.com for the Soddy Daisy Kids Club is hosted and administered by LazyLakeWebDesign. You may contact LazyLake at www.LazyLakeWebDesign.com or contact Jim Mullenix by email at
jim@lazylake.net
 
All items on this website is protected under copyright © 2010 Soddy Daisy Kids Club or LazyLakeWebDesign.