Girls Soccer All-Star Packet Name(Required) First Last Email(Required) High School(Required) FACA Girls Soccer All-Star ClassicYOU HAVE 3 DAYS TO ACCEPT OR DECLINE INVITATION Congratulations on having one of your athletes selected to participate in the 2022 FACA Soccer All-Star Classic. The FACA Soccer All-Star Classic is set for March 10-11, 2023 at Mulberry High School in Mulberry with two games on the 10th and two on the 11th . Download Schedule HereAcceptance(Required) Yes, I accept the invitation to participate in the FACA Soccer All-Star Classic on March 10-11 at Mulberry High School. I understand I have to provide my own hotel room for March 10th. A room Block is set up in Lakeland (La Quinta Inn & Suites East) with a group rate. No, I will not be able to participate in the FACA Soccer All-Star Classic. Additional Participant InformationGender(Required)FemaleGrade(Required)Select Grade9101112Date of Birth(Required) MM slash DD slash YYYY Cell Phone(Required)Position(Required) Jersey SizeSelect OneSmallMediumLargeExtra LargeT-Shirt SizeSelect OneSmallMediumLargeExtra LargeName of Parent/Guardian(Required) First Last Parent/Guardian Email Address(Required) Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Coach's Name(Required) First Last Coach's Email(Required) Coach's Cell Phone(Required)Hotel ArrangementsThe FACA has a room block set-up for March 10 th at La Quinta Inn & Suites East, 4315 Lakeland Park Dr. (863-815-0606). Group Name is Florida Athletic Coaches Association Girls Soccer.. It will be the responsibility of the parent or coach to arrange for lodging/food of the Athlete the day before the event. Call the hotel direct for reservations at 863-815-0606. Rooms are $179 with a cutoff date of 3/6/23. Report Date/Times/Game InfoYou are to report to the La Quinta Inn & Suites East, 4315 Lakeland Park Dr, - EAST/WEST teams at 2:30pm on March 10th . Will depart for the field at 3:30pm - NORTH/SOUTH teams at 4:00pm on March 10th . Will depart for the field at 4:45pm - You do not have to stay in the hotel and you can report directly to the field 1 hour before game time. FACA will provide the uniform tops & socks for the game. Athletes will need to bring BLACK shorts and any other necessary equipment. The FACA will purchase medical insurance for each athlete and coach. This is a secondary coverage. Spectator tickets are $5.00 per day and parking is $5. Children 10 and under are free. Only FACA membership card used at pass gate. March 10, 2023 Game I - 5:00 PM East vs. West Game Game II – 7:00 PM North vs. South Game March 11, 2023 III – 9:00 AM - North vs. West IV - 11:00 AM – South vs. East Parent ConsentI hereby approve my child to participate in the FACA All-Star Classic, practice and related activities. My child has no medical or emotional problems which may affect his/her ability to safely participate in your program. Regarding routine first aid, major emergencies or medical trauma, I understand that the All-Star Team Doctors and staff would provide whatever care or treatment they reasonably could and would refer to the appropriate physician the further treatment of such. I hereby authorize consent to any X-ray, examination, anesthetic, medical or surgical diagnosis or treatment or hospital care, which is deemed needed and rendered under the guidance or special supervision of the physician. Being fully aware of the hazards and possible consequences involved in treatment of the above described routine and major emergency conditions, I being legally competent to give consent, hereby consent to such treatment and agree to hold the Florida Athletic Coaches Association, the Organizers, Sponsors and Supervisors and/or all of them, free and harmless from any claims, whatever which may result from such treatment. All medical expenses incurred due to my child's participation in the FACA All-Star Classic, practice and activities are understood to be the responsibility of the participants Insurance Carrier with the All-Star Insurance Carrier being an Excess policy (primary if participant has no coverage) and I hereby give authorization to provide such necessary insurance information to be used should my child incur an injury or illness that requires medical attention. Acknowledgement(Required) I do hereby declare and represent that in making, executing and tendering this Statement of Voluntary Consent, I understand and acknowledge the circumstances involved in my child's participation in the described activities, and I have read this statement, understood its contents, and executed it of my free will and choice, and do so to benefit the best interest of my child. SponsorshipHow would you like to pay?(Required) Online Mail/Bring check to event Name of Sponsor(Required) First Last Sponsorship Cost(Required) Price: Processing Fee(Required) Price: $30.00 SignaturesDate(Required) All-Star Signature(Required)Parent/Guardian Signature(Required)PaymentTotal Credit Card(Required)Card Details Cardholder Name
