HEART Online Registration

This year, HEART participants may register online. Please complete and submit the form. All submissions will be sent to Martin Rodriguez-Arispe. 

Please read the following expectations before completing this form:

  • Parents/Guardians are expected to remain on site during the clinics to help supervise their children
  • Participants should function well in a group setting.
  • Anyone needing physical assistance or close supervision needs to provide their own assistant/buddy.

We, as parents and legal guardians of the child on this form, release, discharge, and agree to hold harmless and indemnify the capital area soccer league, or any one of the designated coaches of the program from any and all liability, claims or demands arising from participating in the soccer program with the team, specifically to include any and all claims from personal injuries sustained while present or participating in the community outreach soccer program. In addition, I do hereby authorize any one of the designated adults of the program, if, after reasonable attempt has been made to reach us to obtain consent, or if sound medical practice decrees that there is not time to make such attempt, do consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment, and hospital care, to be rendered to the registrant under the general or special supervision and on the advice of any physician or surgeon duly licensed to practice and do consent, by any dentist duly licensed to practice.