2021 Jefferson Cup Girls Goalkeeper Clinic

Player's Name *

First Name Last Name

Birth Date *

Month Day Year

Team Name *

Current Club *

Age Group *

Session Time *

5:00-6:30 pm 6:30-8:00 pm

Have you attended any other OTG events? *

Yes No

If yes, what events have you attended?

GK Clinic GK Showcase GK Games

If yes, how many events have you attended?

Parent/Guardian Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

E-mail *

Waiver of Liability *

I accept the terms of this agreement.

Payment *

2021 Jefferson Cup Girls Goalkeeper Clinic $ 75.00

Once you hit Submit you will be taken to PayPal to complete your transaction. Please note that you are not required to create a PayPal account in order to make your payment.

Refund Policy

Cancellation- If a registered goalkeeper decides to cancel his/her registration the participant will be refunded in full, less a $5 processing fee*.

Weather-If by any means the clinics must be cancelled in its entirety, the amount paid by the registered participant will be refunded in full, less a $5 processing fee*. However, if the clinic is held for the majority of its scheduled time the participant will not be refunded.

No Show-If a registered goalkeeper does not show for their scheduled session they will forfeit all registration fees.

COVID-19 Cancellation-If the tournament is cancelled due to COVID-19 all registered participants will be issued a full refund, less a $5 processing fee*.

*OTG incurs a charge to issue refunds.