San Francisco Vikings Soccer Club, Inc.

Founded 1922
1434 Taraval St
San Francisco, CA 94116
Tel: (415) 753-3111 / Fax: (415) 753-2555
www.sfvsc.org

SF Vikings Kick Start Clinic Spring 2020

How to Register

Here is how you register your child for Kick Start Clinic series:


1. Fill in Player and Parent/Guardian information in designated fields below.

2. Fill out the Authorization of consent of Treatment to Minor.  The first date field pertains to the date the authorization should be valid until (a date later than your child's last date of participation in 2020).  The second date field is today's date.  Your "electronic signature" is just your typed name.


Practice info: Wednesdays

Location: Beach Chalet field 1
1500 John F Kennedy Dr, San Francisco, CA 94122

What to bring:  water bottle, closed toe shoes, wear comfortable clothing

View dates

Fees

The fee is $100 for all 5 sessions, and will be paid as one sum for the series.
April 22, April 29, May 6, May 13, May 20
 *

2.Player Information

Gender *
I, (We), the undersigned parent(s)/guardians of applicant/player, a minor, do hereby authorize San Francisco Vikings Soccer Club, as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care, which is deemed advisable by, and to be rendered under the general or special supervision of any physician and surgeon licensed under the provisions of the medicine Practice Act on the Medical Staff of any accredited hospital treatment is rendered at the office of said physician or at said hospital.  It is understood that they authorization is given in advance of any specific diagnosis, treatment or hospital care being required, but is give to provide authority and power on the part of our aforementioned agent(s) to give specific consent to any and all such diagnosis, treatment or hospital care. 
unless sooner revoked in writing.

3. Authorization of Consent to Use Photos of Your Child at Clinic

I, (We), the undersigned parent(s)/guardians of applicant/player, a minor, do hereby authorize San Francisco Vikings Soccer Club to take photographs of camp activity which may involve my child participating in the activity.
 *