Register | Roots United FC

Player Registration

All fields required. Spots are limited — register early.

Player Full Name *

Date of Birth *

Skill Level *

Preferred Position (optional)

Home Address *

Medical Conditions / Injuries (if any)

Availability (Days / Times) *

Parent / Guardian Info

Parent / Guardian Name *

Phone Number *

Email Address *

Emergency Contact Name *

Emergency Contact Phone *

Agreements

I understand that payment is required to participate after the initial free session.

I have read and agree to the Liability Waiver and Release.

I grant permission for photos/videos to be used by Roots United FC for promotional purposes.

Signature (type full name as digital signature) *