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Player Registration Form

( Each player in the tournament must include this individual form with the team registration packet)

Please print or type this form. Attach one (1) current passport size pictures with the players name written on the back of the picture plus a proof of age (i. e previous pass card, birth certificate, alien registration card, passport, etc.)

Player Name

Date of Birth

Address

City, State, Country

Mail Code

Phone

Email address

Previous Soccer Team Registered With

League_____________________ Team _______________

Season ____________________

Passport Number __________________________

I Voluntarily Desire To Play in the

[ ] Intibuca Internacional Youth Tournament

[ ] African/Caribbean Youth International Football Tournament

[ ] Arizona/Pacific Youth International Soccer Tournament

[ ] Arizona/Pacific Adult International Soccer Tournament

Club Name

Team Name

Age Group

I understand that signing this form binds me to participate in the above tournament unless an act of God prevents me from participating.

Signature of Player _________________________

Date ____________________________________

The undersigned parent or guardian represents that the player is in good health and can participate in competitive soccer and furthermore understand the rules set forth in USSF Rule 2103

I/We understand and appreciate that participation or observation of the sport constitutes a risk to me/us of serious injury, including permanent paralysis or death. I/We voluntarily and knowingly recognize, accept and assume risk and release the International Sports Adventure Institute, ED de AfroHeritage Footballers, AfroCarib Cup and 1st Torneo Internacional, its affiliates, their sponsors, even organizers, elected officer, officials, volunteer and agents from any liability thereof.

Signature of Parent or Guardian	Date
Father's name	Email or Phone
Father's Signature
Mother's Name	Email or Phone
Mother's Signature

Payment information

Option 1 - Send money through Western Union to Honduras to CODET to La Esperanza, Intibuca, Honduras

Option Two - Send copies of the application by certified, registered mail, or DHL with payment to CODET, S de R L, Barrio El Morera, Farmacia Galencia, Frente Bazar Reyna, La Esperanza, Intibuca, Honduras

Because of internet insecurity in many African co