First Name: *
Last Name: *
Parents Name: *
E-mail Address: *
Address: *
City: *
State: *
Zip Code: *
Phone: *
DOB: *
Clinics #: *
How did you find out about QuickFeet?
Emergency Contact: *
Insurance Company and Policy Number: *
List the allergies and/or medical conditions that QuickFeet should be aware of.
Doctors Information: *
By checking here, I hereby give my son/daughter permission to participate the QuickFeet Soccer League. I understand that soccer is a competitive sport that may run the risk of injuries. I agree to hold QuickFeet, Sponsorships, and any other members involved, harmless from all liability associated with my son/daughter and the league. *
I give permission for any medical attention to be administered to my child in the case of an accident, injury, sickness, or any medical occurrence until such time I may be contacted. I also assume responsibility for any such treatment. *
In case of an emergency, if I can not be contacted, I give permission for my child to receive medical treatment. I waive and release QuickFeet and staff from all liability for any injuries and illnesses incurred at the clinic. *
I agree to permit QuickFeet Soccer Training to photograph my child for the sole purpose of marketing. (Optional)
* Required
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The QuickFeet Promise


Nothing is more important to us than treating our parents and players with the utmost respect. We are open to constructive criticism as to how we can make our service better.
If you ever feel like QuickFeet has let you down, please give us a call @ 301-577-7739 or Click Here to send us an email and we will find a solution as to how we can better serve you.