Appalachian People of the Planet Soccer Tournament

Parents' Request to Register their Children

If you wish you can print this form, complete and mail it to the address at the bottom.

Child Information
  1. Male Female
  1. U6 (5, 6 yrs)
    U8 (7, 8 yrs)
    U10 (9, 10 yrs)
    U12 (11, 12 yrs)
    U14 (13, 14 yrs)
    WHS Players ONLY
  2. My child will also help as a Flag Bearer Yes No
Parent Information
Publicity Agreement

*By clicking on this box and providing the date below, I acknowledge that I have read and understood the Release for use of Photographic and Video Images.

If you decide to send a hardcopy, print the completed form and mail it to: Sherry Nikbakht, ASU Math, Room 224 Walker Hall, Boone, NC 28608
For more information, please contact Professor Nikbakht by phone 262-2923 or via e-mail at nikbakhts@appstate.edu. For details, visit the web page of the event at http://www.cs.appstate.edu/soccer.