GOALKEEPER CLINICS

PARTICIPANT INFORMATION

By completing the form below, you are agreeing to enroll your child in one of our programs. Please ensure all information is accurate.

All information collected in this form, will be kept safe and not used for any other purpose other than the associated program.

PARTICIPANT NAME:

First

Last

DATE OF BIRTH:

MM-DD-YYYY

EMAIL ADDRESS:

GENDER:

Please select your child’s gender

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SELECT PREFERRED DAY/TIME TO REGISTER

Monday 5:00PM to 6:00PM) – $440.70
Wednesday 5:00PM to 6:00PM) – $440.70
Friday 5:00PM to 6:00PM) – $440.70

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T-SHIRT SIZE

Sizing is based on a North American based size chart.

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INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT

As a condition of participation in any activity with Brampton Elite Soccer Academy and/or AthELITE Centre, Participants must review the participation waiver and indicate your consent at the end this document.

I acknowledge that certain RISKS of INJURY are inherent in participation in sports and recreation activities. These types of risks can include, physical and/or mental stress due to various levels of training intensity or climate changes. It is highly recommended for participants to review the complete participation and release of liability waiver by clicking on the link below. I acknowledge that there may be RULES and REGULATIONS applicable to the activity I wish to participate in, and that they are designed for enhancement of safety and protection of myself and other participants.

I understand such RULES and REGULATIONS EXIST, and I undertake to abide by them. I acknowledge that all activities require a level of FITNESS and HEALTH (physical, mental and emotional) Once the transaction is processed, one of our team members will be in contact with you for further details. THANK YOU

COMMITMENT OF PARTICIPATION AND RELEASE OF LIABILITY WAIVER

BY CLICKING THE BOX AND ENTERING MY NAME BELOW, I AM CERTIFYING TO AGREE WITH ALL THE TERMS ABOVE AND WAIVE LEGAL RIGHTS

I understand that this release discharges Brampton Elite Soccer Academy and/or AthELITE Centre from any liability or claim that the child that I have registered above and myself, my heirs, or any personal representatives may have against Brampton Elite Soccer Academy and/or AthELITE Centre with respect to illness, death, medical treatment, or property damage that may arise from, or in connection to any services received from Brampton Elite Soccer Academy and/or AthELITE Centre. This liability waiver and release extends to Brampton Elite Soccer Academy and/or AthELITE Centre training facility together with all owners, partners, employees and clients

ENTER FULL NAME HERE

GOALKEEPER CLINICS

COMPLETE THE FORM BELOW TO GET STARTED

PARTICIPANT INFORMATION

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INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT