Fill out the online pre-registration form below if you are a new player interested in joining Po’ohala’s Soccer Program and playing with Po’ohala Futbol Club.

This pre-registration step allows a participant to try any of our soccer program’s practices during the Summer, Fall or Spring seasons. Filling our this pre-registration form DOES NOT officially register you to play with Po’ohala Futbol Club. After you submit your pre-registration you will receive an email with more formation about how to officially register to play.

“There’s a difference between interest and commitment. When you’re interested in doing something, you do it only when circumstance permit. When you’re committed to something, you accept no excuses, only results.”

New Player Pre-Registration Form

*If you are a returning player and have played with Po’ohala F.C. for at least one season before, you DO NOT need to pre-register. Instead, send us an email to register@poohala.org for the offical registration forms & information.

What season are you signing up for?

Fall Season: August through November Spring Season: February through May Summer: June through July

PLAYER INFORMATION

Player's Name

First Name

Last Name

Player's Date of Birth

YYYY

Player's Phone

Leave blank if the player doesn't have a personal phone

(###)

###

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Player's Email

Leave blank if the player doesn't have a personal email

Player's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PARENT/GUARDIAN INFORMATION

Primary Parent/Guardian's Name

First Name

Last Name

Primary Parent/Guardian's Phone

(###)

###

####

Primary Parent/Guardian's E-mail

Primary Parent/Guardian's Relationship to Player

Secondary Parent/Guardian's Name

First Name

Last Name

Secondary Parent/Guardian's Phone

(###)

###

####

Secondary Parent/Guardian's E-mail

Secondary Parent/Guardian's Relationship to Player

ADDITIONAL INFORMATION

How did you hear about Po'ohala Futbol Club?

What is the player's soccer playing history and experience?

Why do you want to play soccer with Po’ohala Futbol Club?

Understanding & Assumption of Risk Agreement

ASSUMPTION OF INHERENT RISKS: By checking this box I understand that the inherent risks of the Club Sports recreational/competitive sports activities, including conditioning and training for competition, vary with the activity, the muscle group involved, and with the equipment used. Common minor risks include, but are not limited to, property damage, minor muscle strains, muscle sprains, muscular fatigue, cuts, bruising, being struck by moving objects or fellow players, and post-exercise soreness. More serious risks include, but are not limited to, joint injuries, torn muscles, heat-related illnesses, eye injuries, broken bones, and back injuries. There is also the more remote risk of a catastrophic incident, for example, stroke, heart attack, paralysis, or death. I understand the types of injuries that may occur as a result of participating in Club Sports. I hereby assert that my participation in Po'ohala Venture's Soccer Program (Po'ohala Futbol Club) is voluntary and that I knowingly assume all inherent risks of the activity.

Our Practice Field

Puhi Produce Field (Behind Harley Davidson)
4450 Puhi Road, Lihue, HI 96766