5-7 year old - Registration
Step 1 of 2: Submit
Program is hosted on Saturdays at 12:15pm - 1:15pm at the National Sports Center (Hockey Pitch) starting on May 4th.
Participant Name:
*
Date of Birth:
*
Age:
*
Select an option:
5
6
7
Player Size:
*
Select an option:
Youth Extra Small (4/5)
Youth Small (6/8)
Youth Medium (9/10)
Other
Does the participant have any medical illness such as asthma?
*
Yes
No
If 'Yes' please describe medical condition
Would the participant be interested in additional training sessions on Wednesdays at 6pm?
Yes
No
Parent or Guardian:
*
Home Phone:
Cell Phone:
*
Email Address:
*
Registration Fee: 175.00 (includes training kit)
Pay By:
Direct Deposit
Cash
Check
Would you like to purchase Futsal tracksuit?
-
Yes
No
Participation includes possible exposure to illness from infectious diseases including but not limited to influenza and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness does exist.
I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation; and,
I willingly agree to comply with the terms for participation in regards to protection against infectious diseases. If, however, I observe and any significant hazard during my presence or participation, bring such to the attention of an official.
By submitting this form, you hereby agree that Footy Promotions / Footy Force Futsal, its members, coaches or officers, shall not be liable for any and all illness, disability or injury
or loss which my child or children may sustain while participating in activities of any kind, whether sponsored by or under the supervision of the Footy Promotions / Footy Force Futsal.
We agree to indemnify and to hold harmless Footy Promotions / Footy Force Futsal, its members, coaches, officers or designates from any kind of claim whatsoever.
The Participant, and the Parent(s) or Guardian(s), if the Participant is a minor child, grant authorization to Footy Promotions / Footy Force Futsal
to use photographs of the Participant for publicity purposes including Website, social media and print advertising content.
Parent or Guardians Please Inital Here To Sign:
*
Date:
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Please note that there are no refunds once the participant has started the 5-7 Year old Futsal Program sessions
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