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/ Spring 2026 Registration
Spring 2026 Registration
$
55.00
Player's Name
(Required)
First
Last
Home Address
(Required)
Street Address
Address Line 2
City
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Virginia
Washington
West Virginia
Wisconsin
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Armed Forces Americas
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State
ZIP Code
Do you live within the City of Washington City Limits?
(Required)
YES - I live within the City limits of Washington - AND pay CITY of WASHINGTON Property Tax.
NO - I do not live within the City limits of Washington City Limits - NO Washington Property Tax
**If you PAY CITY OF WASHINGTON PROPERTY TAX, then you live within the city limits.
Player's Gender
(Required)
Select...
Male
Female
Player's Date of Birth
(Required)
MM slash DD slash YYYY
Player's Age (Number)
(Required)
As of 8/31
Player Years of Experence
(Required)
Select...
1
2
3
4
5
6
7
8
9
10+
Select Player Shirt Size
(Required)
Select...
Youth X-Small (2-4)
Youth Small (4-6)
Youth Medium (8-10)
Youth Large (12-14
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Did this player participate in ECFC soccer in the last year?
(Required)
Select...
Yes
No
Player Medical information or Allergies
(Required)
Additional Player Information
Player's Home Phone Number
(Required)
Emergency Contact NAME
(Required)
Please enter the emergency contact name
Emergency Contact Phone number
(Required)
Please enter emergency phone number
First Parent/Guardian Name
(Required)
First
Last
Second Parent/Guardian Name
First
Last
First Parent/Guardian Phone
(Required)
Second Parent/Guardian Phone
First Parent/Guardian Email
(Required)
Second Parent/Guardian Email
First Parent Volunteer?
Coach
Assistant Coach
Team Manager
Concession Stand
Please indicate if you would like to assist with our league.
Second Parent Volunteer?
Coach
Assistant Coach
Team Manager
Concession Stand
Please indicate if you would like to assist with our league.
Additional Comments, Concerns or Requests:
Medical Release Agreement
(Required)
Waiver from Registration System. Eastern Carolina Futbol Club.
Medical Release and Liability Release and Waiver PLEASE READ ENTIRE TEXT-
I, the parent or guardian of participant a minor, hereby consent to their participation in the Eastern Carolina Futbol Club. I further agree to release and save harmless the City of Washington and the Eastern Carolina Futbol Club, its officers, employees, agents, and attorneys from any and all liability or expenses arising out of any incident involving, or on account of any injury to the above named minor in connection with such program. I hereby give permission to the Eastern Carolina Futbol Club and coaches to authorize a physician at a local hospital to secure proper treatment for my our child as named above. Treatment Minor As the parent or legal guardian of the registering player, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. Care may be given under whatever conditions are necessary to preserve life, limb, or well being of my dependent. I have noted in comments any special medical needs or concerns. I also give permission for the use of photos of participant for promotion or social media posting.
CITY OF WASHINGTON and EASTERN CAROLINA FUTBOL CLUB
WAIVER, RELEASE, INDEMNIFICATION AGREEMENT, AND COVENANT NOT TO SUE FOR MINOR BY ADULT.
I agree to the Medical Release
Consent
(Required)
NOTICE: THIS IS A LEGALLY BINDING AGREEMENT. Please read this document carefully and in its entirety. By signing this Agreement, you give up your right and the named minor's right to bring a court action to recover compensation or obtain any other remedy for any personal injury, illness, or property damage however caused arising out of the named minor's participation in the Activity described below, now or any time in the future.
1. I recognize and am aware that the below minor’s permission to be on City premises and/or City maintained premises and/or to participate in a recreational league, program, or other activity ("Activity") will not be exclusive, but will be shared with others, is inherently dangerous, and could result in physical and/or mental injury, including death. I acknowledge that participation in said Activity includes possible exposure to and illness from infectious and communicable diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist and cannot be eliminated. I knowingly and freely undertake and assume all such risks, responsibility and dangers, both known and unknown, associated with the same, even if arising from the negligence of the Releasees or others, and assume full responsibility for the below minor's participation in the Activity.
2. I and the below minor willingly agree to comply with the stated and customary terms and conditions for participation, including but not limited to protections against infectious diseases. If, however, I or the below minor observe any unusual or significant hazard during our participation, I and the below minor will remove ourselves from participation and bring such to the attention of the nearest official immediately.
3. The below minor is in proper physical condition and has sufficient knowledge, skill, and training, as the case may be, to participate in said Activity.
In consideration for the below minor being allowed to be on City premises and/or City maintained premises and/or to participate in said Activity and other good and valuable consideration, the receipt and legal sufficiency of which are hereby acknowledged, I, the undersigned parent, guardian, or custodian of the below minor, for himself/herself and on behalf of said minor, do, for myself, my heirs, executors, personal agents, personal representatives, administrators, successors, assigns, and next of kin, hereby unconditionally waive, release, hold harmless, and will indemnify, acquit and forever discharge ("Release") the Eastern Carolina Futbol Club, it’s members and officers and the City of Washington its present and former employees and elected officials, in both their individual and official capacities, agents, personal representatives, attorneys, insurers, family members, heirs, successors, and assigns, and each of them, respectively, ("Releasees") of, from and for all and any manner of action or actions, cause and causes of action, claims, demands, costs, loss of services, expenses, attorney’s fees, compensation and all consequential, compensatory, general, special, and/or punitive damages or liabilities, ("Claims") known or unknown, whether arising from the negligence of Releasees or otherwise, to the fullest extent permitted by law, which may result directly or indirectly or in any way be related to or growing out of the below minor’s coming to, being on, or departing City premises and/or City maintained premises and/or participating in said Activity.
The foregoing Release shall include any and all negligence made or brought by the below minor or by anyone on behalf of said minor as a result of said minor’s participation in the Activity. In addition, I, for myself and on behalf of said minor, further agree not to sue any of the aforementioned parties as a result of any injury, paralysis, or death that said minor suffers in connection with the minor’s participation in the Activity.
The foregoing Release shall include any Claim arising from or related to any and all illnesses and communicable diseases, including COVID-19.
This Waiver, Release, and Indemnification Agreement for Minor by Adult ("Agreement") has been read by me and I fully understand its contents and terms. I understand that I have given up substantial rights by signing this Agreement and I sign it freely and voluntarily without any inducement. I also certify that I have read and explained the provisions of this Agreement to the below minor, including the risks of presence and participation and the below minor's personal responsibilities for adhering to the rules and regulations, including but not limited to protections against communicable diseases. Furthermore, the below minor understands and accepts these risks and responsibilities. This Agreement shall be binding as to the below minor as well as on me, my heirs, executors, personal agents, personal representatives, administrators, successors, assigns and next of kin.
CITY OF WASHINGTON and Eastern Carolina Futbol Club
WAIVER, RELEASE, INDEMNIFICATION AGREEMENT, AND COVENANT NOT TO SUE BY ADULT
NOTICE: THIS IS A LEGALLY BINDING AGREEMENT. Please read this document carefully and in its entirety. By signing this Agreement, you give up your right to bring a court action to recover compensation or obtain any other remedy for any personal injury, illness, or property damage however caused arising out of your participation in the Activity described below, now or any time in the future.
1. I recognize and am aware that my permission to be on City premises and/or City maintained premises and/or to participate in a recreational league, program, or other activity ("Activity") will not be exclusive, but will be shared with others, is inherently dangerous, and could result in physical and/or mental injury, including death. I acknowledge that participation in said Activity includes possible exposure to and illness from infectious and communicable diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist and cannot be eliminated. I knowingly and freely undertake and assume all such risks, responsibility and dangers, both known and unknown, associated with the same, even if arising from the negligence of the Releasees or others, and assume full responsibility for my participation in the Activity.
2. I willingly agree to comply with the stated and customary terms and conditions for participation, including but not limited to protections against infectious diseases. If, however, I observe any unusual or significant hazard during my participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.
3. I am in proper physical condition and have sufficient knowledge, skill, and training, as the case may be, to participate in said Activity.
In consideration of being allowed to be on City premises and/or City maintained premises and/or to participate in said Activity and other good and valuable consideration, the receipt and legal sufficiency of which are hereby acknowledged, I do, for myself, my heirs, executors, personal agents, personal representatives, administrators, successors, assigns, and next of kin, hereby unconditionally waive, release, hold harmless, and will indemnify, acquit and forever discharge ("Release") the Eastern Carolina Futbol Club (Officers & Members) and the City of Washington, its present and former employees and elected officials, in both their individual and official capacities, agents, personal representatives, attorneys, insurers, family members, heirs, successors, and assigns, and each of them, respectively, ("Releasees") of, from and for all and any manner of action or actions, cause and causes of action, claims, demands, costs, loss of services, expenses, attorney’s fees, compensation and all consequential, compensatory, general, special, and/or punitive damages or liabilities, ("Claims") known or unknown, whether arising from the negligence of Releasees or otherwise, to the fullest extent permitted by law, which may result directly or indirectly or in any way be related to or growing out of my coming to, being on, or departing City premises and/or City maintained premises and/or participating in said Activity.
The foregoing Release shall include any and all negligence made or brought by me or by anyone on my behalf as a result of my participation in the Activity. In addition, I further agree not to sue any of the aforementioned parties as a result of any injury, paralysis, or death that I suffer in connection with my participation in the Activity.
The foregoing Release shall include any Claim arising from or related to any and all illnesses and communicable diseases, including COVID-19.
This Waiver, Release, and Indemnification Agreement by Adult ("Agreement") has been read by me and I fully understand its contents and terms. I understand that I have given up substantial rights by signing this Agreement and sign it freely and voluntarily without any inducement. This Agreement shall be binding on me, my heirs, executors, personal agents, personal representatives, administrators, successors, assigns, and next of kin.
By Agreeing to this waiver and Release you are submitting an electronic signature for you and your player(s).
I agree to the Liability Release for the City of Washington and Eastern Carolina Futbol Club
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