Upward Registration Form

Upward Registration Form

LEGACY BAPTIST CHURCH

Child's Last Name?
Child's First Name?
Child's Middle Initial?
Street Address?
City?
State?
Zip Code?
Home Phone?
Cell Phone?
Parent's Email?
Gender?
Name of School You Attend?
Current Grade
Birthday (mm/dd/yy)?
Church (If you regularly attend church, which one)?
Player Information Note (if any)?
How many years has your child played organized soccer?
To help us better coach your child, rank your child at play from 1 to 10, 1 being the least assertive and 10 the most?
Father/Guardian-Last Name
Father/Guardian-First Name?
Father/Guardian Work Phone?
I would like to assist this league by being a:
Mother/Guardian-Last Name?
Mother/Guardian-First Name?
Mother/Guadian's Work Number?
I would like to assist this league by being a:
Emergency Contact Name?
Evening Phone?
Daytime Phone?
Uniform Size?
How did you hear out about Upward Soccer?

Our Mission Statement

Worship * Evangelism * Fellowship * Discipleship * Missions

To lift up the name of the Lord Jesus Christ in order to bring people to Jesus and membership in His family, develop them to Christ-like maturity, and equip them for their ministry in the church and life mission in the world.

Legacy Baptist Church Mailing Address
P.O. Box 2000
Dallas, Ga. 30132

770-443-0805