EmailMe Form - Gorizont Soccer Team Player Questionary

Gorizont Soccer Team Player Questionary

"Gorizont" is the ONLY official Colorado Russian Community Soccer Team supported by major National and Colorado Russian Press.

This form serves solely to collect the essential information to ensure the best communication and cooperation between team players.
All information collected here is treated as confidential.

I. PERSONAL INFO
Name *
First Last
Date of Birth *
MM / DD / YYYY
Place of Birth
Do you speak Russian?
Yes, fluently
Sort of, understand some
No, I do not
II. YOUR ROLE IN GORIZONT TEAM
Please select your actual (or desired) role in Gorizont Soccer Team and Gorizont Russian Football Club
Your Relations with
Gorizont Team *
Applying New Fiels Player
Gorizont enlisted Field Player
Coach / Assistant Coach
Sponsor / Supporter
Fan / Follower
Cheerleader
Reporter / Newsmaker
Resting Player (cannot play but keep me posted)
III. CONTACT INFO
Best Email
to contact you *
How often
do you check
your email? *
Best Contact Phone # *
### - ### - ####
Is it OK to send SMS
to this phone number? *
YES
NO
ONLY in case of emergency
CONTACT PREFERENCES
Select best ways
to contact you? *
No preferences.
E-mail
SMS
Phone call / Voice message
By US Mail (not good for urgent messages)
MAILING ADDRESS
(optional)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Comments
(optional)
Here you can give us any additional information if desired.
IV. PLAYER'S SECTION
Please answer the following questions if you are the player only.
Otherwise please select "n/a" if answers required.
GORIZONT UNIFORM
Jersey Size *
PLAYER NUMBER?
For enlisted
Gorizont players
only *
Please enter the number on your Gorizont uniform. For new players or non-playing members - please enter "0"
FIELD POSITION
Please mark ALL field
positions your have
the best experience at *
Goalkeeper
Fullback, Sweeper, Stopper
Defender
Central Defender
Winger
Midfield Maestro
Defensive Midfielder
Attacking Midfielder
Central Forward
Forward, Striker
Finisher
Coach Assistant
Fan, Cheerleader
n/a
AVAILABILITY
Please mark ALL that describes
your usual time availability
for practices, scrimmages
and games *
Mon AM
Mon PM
Tu AM
Tu PM
Wed AM
Wed PM
Thu AM
Thu PM
Fri AM
Fri PM
Sat AM
Sat PM
Sun AM
Sun PM
TECHNICAL ASSISTANCE
Do you need any help with
computer applications for
registration process? *
YES, I need help to use computer
NO, I can use applications on my own
TRAVEL ASSISTANCE
Do you need any help
with transportation? *
YES, I need a ride
NO, I can come on my own
FINANCIAL SUPPORT
Do you need any financial
assistance to participate
leagues? *
YES, please give me a hand
NO, I can take care of myself
MAY BE, can use it if available
CONCENSE TO PUBLIC MEDIA *
YES
NO
I allow to use my pictures for Gorizont Team related materials on our Website, Facebook page, articles in Gorizont Newspaper, Colorado Russian Times magazine, "Sootechestvennik" All American Magazine, Annual Calendars and other promotional materials.
Do you have any form of
Health Insurance that may
cover any accidents related
to your unofficial sporting
activities? *
YES
NO
NOT SURE
N/A
V. GENERAL FORMS AND SUBMISSION
This section including waiver to be completed by all official players, registered fans and all other nonpaying participants of Gorizont Russian Football Club sporting activities
LIABILITY WAIVER
Please read this Liability waiver and confirm. *
YES, I acknowledge I have read and understood the contents of the Liability waiver, give my consent and electronically sign it by selecting this "YES" option
NO, I do not consent this waiver and as a result I agree to do not participate at any sporting activities related to Gorizont Soccer Team
ATTACHEMENTS.
You may attach any
related document
including photo
if needed.
YOUR INITIALS *
Image Verification

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