CCB FC / HC FC Academy Application Form

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Player Information

Gender *

Team Information

CCB FC Member *

Medical Information

CCB FC and Human Code FC (HC FC) waiver, release and INDEMNIFICATION agreement:

Indemnification: Participant hereby indemnifies saves and holds harmless CCB FC and HC FC, & Release CCB FC and HC FC, & Academy Staff from any Claim arising out of, or related to the Program, or Participant’s participation in the sport of soccer

Acknowledgement of Risk: Participant understands and acknowledges that Soccer has inherent risks, hazards and dangers that participation in the Program may results in ACCIDENT, ILLNESS, PHYSICAL INJURY, PROPERTY DAMAGE, other HARM, or DAMAGE.

Participant understands and acknowledges that there are inherent or unexpected risks and dangers associated both with the sport of soccer and also otherwise resulting from participation in the Program and the sport of soccer.

Participant understands and acknowledges that there may be other risks and dangers involved in participation in the Program of which he or she may not be presently aware or which cannot be predicted or controlled.

Media Release: Participant hereby agrees that any photos, videos or other likenesses taken during the participation in the Academy Program may be used in promotional, advertising, display, audio-visual, exhibition, editorial or educational media

for any legitimate soccer purpose whatsoever, and to use my (player) name in connection therewith if CCB FC or HC FC chooses, without payment or other consideration made to me (player)/parent/guarding.

I hereby waive any right to inspect or approve the finished version incorporating the same.

ACKNOWLEDGEMENT: PARTICIPANT ACKNOWLEDGES THAT PARTICIPANT HAS HAD THE OPPORTUNITY TO REVIEW THIS AGREEMENT, HAS READ IT IN ITS ENTIRETY, UNDERSTANDS ITS PURPOSE, MEANING, AND INTENT,

AND ACKNOWLEDGES THAT THEY HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE.

Program

Skills Centre
Physical literacy, multi skills, development of balance, co-ordination and agility. Development of Social Skills in line with Long Term Player Development model (LTPD) within a fun and inclusive environment facilitated by licensed UEFA and Canadian Soccer Association coaches (CSA). The syllabus will include 3v3 games to ensure children have plenty of opportunity for discovery and be creative to develop individual possession technique/skills. Progression updates will be provided to parents at the end of each block of work using the CSA LTPD model as framework for formative assessment.

Advanced Development Centre
Designed to develop players across the CSA LTPD model highlighting individual strengths and areas for improvement. UEFA and CSA licensed coaches will design practice/games that are relevant and realistic facilitated within fun inclusive environments. The syllabus will include 4v4 to 8v8 games to ensure children have plenty of opportunity for discovery and be creative to develop individual possession techniques/skills. Progression updates will be provided to parents at the end of each block of work using the CSA LTPD model as framework for formative assessment.

Elite Teams Program
Designed to develop players across the CSA LTPD model highlighting individual strengths and areas for improvement. UEFA and CSA licensed coaches will design practice/games that are relevant and realistic facilitated within an engaging competitive environment. The syllabus will include position, unit and formation specific practices to ensure players enhance their super strengths with in elite competition. Progression updates will be provided to parents at the end of each block of work using the CSA LTPD and the Human Code FC player mentoring model.

Super Elite Player Performance Program
Designed to develop players within the tactical and psychological corners of LTPD. UEFA and CSA licensed coaches will design practice/games which will enhance mental skills such as Confidence, Commitment, Control, Concentration and Communication. The syllabus will include position, unit and formation specific practices to ensure players enhance their super strengths with in an elite environment. Progression updates will be provided to parents at the end of each block of work using the CSA LTPD and the Human Code FC player mentoring model.

Cost *

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