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TRYOUTS
ABOUT
PLAYERS FIRST
CLUB DIRECTORY
GOVERNANCE
TOURNAMENTS
RAGE College Showcase
RAGE Girls Summer Cup
PROGRAMS
ALL PROGRAMS
COMPETITIVE
SELECT
Tryouts
RECREATIONAL
2024 RAGE Recreational Registration
Game Schedules
Game Rules
Seasonal Programs/Camps
GOALKEEPER PROGRAM
TOPSoccer
REFEREE PROGRAM
RAGE USLw
COACHES
COMPETITIVE
RECREATIONAL
RESOURCES
COVID-19
ACL INJURIES
AIR QUALITY AND HEAT
CONCUSSION & SUDDEN CARDIAC ARREST
COLLEGE
NUTRITION
FINANCIAL AID
FORMS
NEWSLETTERS
PARENT’S CORNER
RAGE WEAR & DECALS
SPIRIT SHOP
PUBLICITY
EDUCATIONAL VIDEOS
(password protected)
Club Registration Fee Waiver Request Form
Home
Club Registration Fee Waiver Request Form
Club Registration Fee Waiver Request Form
apfotos
2017-03-30T15:50:47-07:00
Club Registration Fee Waiver Request Form - Rec Only
Today's Date
MM slash DD slash YYYY
PLAYER INFORMATION
Player's Name
*
Click the "+" to add more names.
First Name
Last Name
Birthdate
Primary Contact
*
Please list primary contact, can be father only, mother only, or both father and mother. Note that whoever is listed must also sign the form.
Mother
Father
Guardian
Primary Contact Name
*
First
Last
Please indicate which parent
Secondary Contact Name
First
Last
Please indicate which parent
Address
*
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Primary Contact Email
*
Enter Email
Confirm Email
Secondary Contact Email
Enter Email
Confirm Email
Primary Contact Phone
*
Secondary Contact Phone
Hidden
Father/Guardian Name
First
Last
Hidden
Father/Guardian Address
If different than listed Mother/Guardian
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Hidden
Father/Guardian Email
Enter Email
Confirm Email
Hidden
Father/Guardian Contact Phone
ASSESSMENT OF NEED
Indicate the amount you are able to contribute to the
TOTAL
cost of your player(s)’s Club Registration Fee.
Age Group: U5-U7 Early Bird fee = $250
Age Group: U8-U19 Early Bird fee = $325
Please state your reason(s) for requesting a Club Registration Fee Waiver:
*
How many years has your daughter played for RAGE?
*
Please enter a number less than or equal to
20
.
Have you been an active volunteer for the RAGE community (i.e. Board Member, Rec Age Group Coordinator, Coach, College Showcase Tournament Support, Referee?
*
Yes
No
Please explain your volunteer experience with RAGE:
*
How would you like to get involved?
*
If your request is approved, you, or one of your immediate family members must volunteer a minimum of 4 hours per season. In which position(s) are you committed to help?
*
RAGE Tournament Support
Opening Day Parade (September)
Orange & Gold Gala Event (October)
Club Event Support
Rec. Head Coach
Rec. Assistant Coach
Rec. Age Group Coordinator
Volunteer Referee (4 game min)
RAGE Wear Sales
Field Sweeping
Rec. Program Marketing
Other
Please list how you will help:
*
Mother/Guardian Signature
*
Please sign to complete your application.
Father
*
Email
This field is for validation purposes and should be left unchanged.
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