GLGK West Side Winter 1 Indoor Registration U15-U19
November 30th-Feburary 8th Force Sports Rocky River 21220 Center Ridge Rd, Rocky River, OH 44116
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example@example.com
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Youth Small
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Winter 1 West Side Goalkeeping
$
350.00
First Five Weeks
$
200.00
Second 5 Weeks
$
200.00
Payment Methods
Debit or Credit Card
First Name
Last Name
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Please click one of the PayPal options to complete payment and
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the form.
Release I verify that my child has been checked recently by a physician and is physically able to participate in soccer activities. Also, as a parent/guardian, I authorize any first aid or emergency care that may become necessary for my child while he/she is participating. Further, I understand that there is an inherent risk of injury in playing soccer. Consequently, I hereby release and hold harmless, Great Lakes Goalkeeping Academy, Jason Kubbins, Andy Hogarth, their staff and from liability should any injury, loss of life, or loss/damage to equipment that may occur during the camp. By executing this document, I hereby assume all risk of injury or lost or damaged property. In case of emergency, this form and signature will serve as authorization for a hospital to administer medical treatment. All pictures, videos, and contact information collected by Great Lakes Goalkeeping Academy may be used at the discretion of Jason Kubbins for promotional use.
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