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Player 1 Information

Player 1 Name

First

Last

Player 1 Age

Player 1 Age Confirmation

Player 1 Date of Birth

Age Group Assignment 5-6

Age Group Assignment 7-8

Age Group Assignment 9-10

Age Group Assignment 11-12

Age Group Assignment 13-15

Player 1 Gender

Male
Female

Player 1 Address

Player 1 Live at Different Address to Parent/Guardian

Player 1 Street Address

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Player 1 City Address

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Payment Phone Group

Player 1 State Address

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Player 1 ZIP Code

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Player 1 Program Location

Player 1 Program SCHEDULE

Player 1 Uniform Size

Upload Player 1's ID or Birth Certificate

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Upload Player 1's Passport Size Photograph

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Player 2 Information

Player 2

First

Last

Player 2 Age

Player 2 Age Confirmation

Player 2 Date of Birth

Age Group Assignment 5-6 (copy)

Age Group Assignment 7-8 (copy)

Age Group Assignment 9-10 (copy)

Age Group Assignment 11-12 (copy)

Age Group Assignment 13-15 (copy)

Player 2 Gender

Male
Female

Player 2 Address

Player 2 Live at Different Address to Parent/Guardian

Player 2 Street Address

Only Fill Out if Different From Parent/Guardian Address

Player 2 City Address

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Player 2 State Address

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Player 2 ZIP Code

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Player 2 Program Location

Player 2 Program SCHEDULE

Player 2 Uniform Size

Upload Player 2's ID or Birth Certificate

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Upload Player 2's Passport Size Photograph

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Player 3 Information

Player 3 Name

First

Last

Player 3 Age

Player 3 Age Confirmation

Player 3 Date of Birth

Age Group Assignment 5-6 (copy) (copy)

Age Group Assignment 7-8 (copy) (copy)

Age Group Assignment 9-10 (copy) (copy)

Age Group Assignment 11-12 (copy) (copy)

Age Group Assignment 13-15 (copy) (copy)

Player 3 Gender

Male
Female

Player 3 Address

Player 3 Live at Different Address to Parent/Guardian

Player 3 Street Address

Only Fill Out if Different From Parent/Guardian Address

Player 3 City Address

Only Fill Out if Different From Parent/Guardian Address

Player 3 State Address

Only Fill Out if Different From Parent/Guardian Address

Player 3 ZIP Code

Only Fill Out if Different From Parent/Guardian Address

Player 3 Program Location

Player 3 Program SCHEDULE

Player 3 Uniform Size

Upload Player 3 ID or Birth Certificate

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Upload Player 3's Passport Size Photograph

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Parent / Guardian Information

Parent/Guardian Name

First

Last

Parent/Guardian Relationship to Player

Parent/Guardian Phone Number

Parent/Guardian Email

Parent/Guardian Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Alternate Emergency Contact Name

Alternate Emergency Contact Phone Number

Add Comment on the Player/s Medical Information / Allergies

Privacy

I have read & accepted terms of services *

Kids Goal Soccer Academy Terms & Consent
By registering your child in Kids Goal Soccer Academy, you agree to the following:

1. Medical Consent: I give permission for my child to participate in the soccer program, understanding that sports carry risks of accidents and injury.

2. Release of Liability: I agree not to hold Kids Goal Soccer Academy, its staff, volunteers, or coaches responsible for any injuries or damages that may occur during my child’s participation.
3. Indemnification: I agree to cover any costs or damages that may result from my child’s actions during the program.

4. Emergency Treatment: In case of a medical emergency, I authorize Kids Goal Soccer Academy to seek necessary medical treatment for my child. I understand that I will be responsible for any related medical expenses.
5. No Insurance Provided: I understand that Kids Goal Soccer Academy does not provide medical or other insurance for participants.

By registering, you accept these terms and agree to them on behalf of your child.

Terms and Conditions Agreement

I have read and agree to the Terms and Conditions

Program Scheduling and Consolidation Policy: Registration Options: Parents/guardians may register their child(ren) for one of two soccer training schedules: Monday/Wednesday or Tuesday/Thursday. Consolidation Clause: To ensure the quality of training and effective resource allocation, we monitor enrollment numbers for both schedules. If the number of registrants in one schedule falls below 30% of the enrollment of the other, we reserve the right to consolidate the programs. Impact on Registrants: In the event of consolidation, registrants from the lower-enrolled schedule will be transferred to the higher-enrolled schedule. Both groups will then train together at the remaining schedule’s time. Rationale: This measure is necessary to maintain the financial sustainability of the program. The costs associated with hiring additional coaching staff and providing necessary equipment for low-enrollment sessions exceed the registration fees collected, making the operation of two separate, sparse sessions unfeasible. Anti-Bullying Policy: This includes, but is not limited to: Physical: Pushing, hitting, kicking, or any use of violence, Verbal: Name-calling, persistent teasing, mocking, or making threats, Social & Emotional: Spreading rumors, excluding players, or deliberate isolation and Cyberbullying: Harassment, hurtful rumors, or derogatory comments sent via social media or digital platforms Media Consent & Opt-Out: We photograph academy activities for promotional use. Photos of your child may appear on our website, in digital or print magazines, and in sponsor and similar communications.

Media Opt-Out

I DO GRANT PERMISSION FOR MY CHILD’S PHOTO or VIDEO TO BE USED

Number of Players You Registered

Payment Information

Payment For 1 Player

Price: $50.00

Total Payment For 2 Players

Price: $100.00

Total Payment For 3 Players

Price: $150.00

Monthly Registration Fee Breakdown:
• 1 Player: $50 / month
• 2 Players: $100 / month
• 3 Players: $150 / month

ACH Authorization

I authorize the academy to automatically debit $50 monthly per registered player from my bank account for the monthly voluntary donation!

Stripe Credit Card