South Bend SoccerZone

Create an account to fill out your Waiver!

It's easy and will take only a minute

Parents!

You are filling out this form with information about YOU, not your child.

You will have an opportunity to register and sign the waiver for your child as a player after you create an account.

Your message has been sent successfully. Thank you.

How would you like to sign up, Text or Email? Click the appropriate button *

Text Email

The Primary Facility *

My First Name is *

My Last Name *

My Birthdate is *

My Phone Number is *

My Gender is *

My Email Address is *

My Password will be *

Repeat password *