All Registrations Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of birth * MM DD YYYY What Program are you signing up for? * EDP 2017 Tryout EDP 2018 Tryout Academy Player(By invitation only) Waiver * In enrolling in COSA programs My child, has my permission to participate in the COSA and BFC programs. I assume all risks and hazards incidental to such participation including transportation to and from activities. I do here by waive, release, absolve, indemnify and agree to hold harmless COSA and Carmel Sports Club, the sponsors and coaches for any claim arising out of any injury to my child. I also understand that it is my responsibility to notify the coach of any medical/physical condition that could limit adult and child’s participation or that requires special attention. Consent: I the undersigned parent or guardian do authorize Chris Obi Soccer Academy to utilize any and all photographs for or as deemed necessary for our websites and other promotions. Agree Do not Agree Thank you for registering and for being a huge part of COSA!