2022 Summer Camps & Clinics Registration

JOIN THE GSA FOR SUMMER FUN!!!

The GSA will hold several camps and clinics this summer for players aged 6-14.

Maestro Day Clinic - May 30 | West End

Summer Kickoff Camp - June 6-9 | South Side

Shooting & Goal Scoring Camp - June 27-30 | South Side

Maestro Camp - July 11-14 | West End

Players must wear shin guards and should bring a ball, water bottle, and a snack.

Please fill out one registration per child. At the end of the registration form, you will be taken to our payment portal. Once you have completed the registration and payment, you may start a new registration form for the next child. Please contact the GSA at info@grovesocceracademy.com if you have any questions throughout the process.

Participant Name *

First Name Last Name

Birth Date *

Month Day Year

Player Age

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

E-mail (optional)

example@example.com

Phone Number (optional)

Area Code Phone Number

Parent/Guardian Name *

First Name Last Name

Phone Number *

Area Code Phone Number

E-mail *

Parent/Guardian Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

example@example.com

Physician Name

First Name Last Name

Phone Number

Area Code Phone Number

Medical Concerns

Please select the camps or clinics you would like to sign up for this summer. Players will receive a free camp t-shirt and you may indicate if you would like to purchase any other GSA uniform items.

All GSA apparel is Nike, and the youth sizes are available for your selection in the drop-down boxes.

My Products

May 30 Maestro Day Clinic - GSA West End $ 55.00

The GSA Maestro Day Clinic provides a unique training environment where moves, creativity, and flair are at the heart of developing 1 v 1 artists. A combination of technical, tactical, and agility training along with small-sided games provides an excellent opportunity for players to develop their skills. Attendees can expect sessions from Academy Coaches and Grove Soccer United players from 9:00 AM to 12:00 PM with a snack break in between. This clinic will be a mixture of competition, training, and having fun!

June 6-9 Summer Kick-Off Camp - GSA South Side $ 155.00

Join GSA with our Summer Kick-Off Camp where attendees leave every day with a smile on their faces! This camp will combine technical, physical, and tactical elements of the game while having fun as our highest priority. Attendees can expect a training session in the beginning, a snack break, and then a fun way to end each camp day!

June 27-30 Shooting & Goal Scoring Camp - GSA South Side $ 155.00

What's the best feeling in the world? SCORING A GOAL! Join GSA as we host this camp to give the attendees academy-level finishing training to develop goal scorers with an eye for goal! This camp will be solely focused on two sessions of finishing with a snack break in between.

July 11-14 Maestro Camp - GSA West End $ 155.00

Just like our Maestro Day Clinic...except three days of fun and exciting training! The GSA Maestro Day Camp provides a unique training environment where moves, creativity, and flair are at the heart of developing 1 v 1 artists. A combination of technical, tactical, and agility training along with small-sided games provides an excellent opportunity for players to develop their skills. Attendees can expect sessions from Academy Coaches and Grove Soccer United players from 9:00 AM to 12:00 PM with a snack break in between. This clinic will be a mixture of competition, training, and having fun!

INCLUDED GSA CAMP SHIRT Free

T-Shirt

GSA T-shirt Only (optional) $ 20.00

T-Shirt

GSA Tracksuit Top (optional) $ 55.00

Tracksuit Top

Total $ 0.00

ASSUMPTION AND ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY AGREEMENT

By submitting this form I, the participant or parent/guardian of the above listed minor (if participant is under the age of 18), acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability or death, and severe social and economic losses which might result not only from their own actions, inactions or negligence, but action, inaction or negligence of others, the rules of play, or the condition of the premises or of any equipment used and further, that there may be other unknown risks not reasonably foreseeable at this time, assume all the foregoing risk and accept personal responsibility for the damages following such injury, permanent disability or death, hereby release, discharge, covenants to indemnify and not to sue Grove Soccer Academy, its directors, officers, employees, coaches, managers, agents, sponsors and associated personnel including those of its affiliated organizations, and the owners and lessors of premises used to conduct the events, all of which are hereinafter referred to as 'releasees', from any and all liability to each of the undersigned, his/her heirs or next of kin for any and all against any claim by or on behalf of the participant as a result of the participant's participation in any Grove Soccer Academy event or program and/or being transported to or from the same, which participation, after careful consideration I hereby authorize, and which transportation I hereby authorize.

PHOTO/ VIDEO RELEASE

I hereby voluntarily and without compensation authorize visual images and/or voice recordings to be made of the participant by or on behalf of the Grove Soccer Academy, and other sponsoring entities during the program. I also authorize the foregoing entities and their assigns to reproduce, modify, publicize, broadcast, and display any such visual images or voice recordings, with or without my name, without notice or payment of any royalty, fee, or other compensation of any character to me for the use of my image, name or voice.

MEDICAL RELEASE/ CONSENT

I hereby give my consent to have an athletic trainer, trained first aid parent, coach and/or doctor of medicine or dentistry or associated personnel to provide the participant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I, also agree to save and hold harmless and indemnify each and all parties herein referred to above as releasees from all liability, loss, cost, claim or damage whatsoever, including death or damage to property, which may be imposed upon said releasees because of any defect in or lack of such capacity to so act or caused or alleged to be caused in whole or in part by the negligence of the releasees.

IMPORTANT: RETURN TO PLAY AND GSA CONCUSSION POLICY:

In the event that a participant received any kind of injury, the participant will be monitored closely, and the GSA reserves the right to remove a participant from participation in any session if symptoms are too severe to continue.

PLEASE NOTE: IF DIAGNOSED WITH ANY TBI (TRAUMATIC BRAIN INJURY), THE PARTICIPANT WILL NOT BE ABLE TO RETURN TO PLAY UNTIL A LETTER IS RECEIVED BY GSU FROM A DOCTOR OR MEDICAL PRACTITIONER THAT FULLY CLEARS THE ATHLETE FOR A RETURN TO PARTICIPATION.

I acknowledge that I have read the foregoing and I fully understand the contents.

Do you consent? *

Date of Consent *

Date

In consideration for being allowed to participate in events and activities related to the Grove Soccer Academy including activities organized by or on behalf of my club and the activities incidental thereto (e.g., activities associated with travel with my club) (collectively, “Soccer Activities”), I, the undersigned, acknowledge and agree as follows:

There is an ongoing pandemic of COVID-19, a contagious virus which may cause severe illness, other adverse medical reactions, quarantine requirements, transmission to friends and/or family, and/or death in addition to other adverse results, the scope of which may not be fully understood given that COVID-19 is a novel virus and has not yet been fully evaluated by the medical community (“Virus Risks”). COVID-19 is believed to spread mainly from person-to-person contact, aerosol droplets, and also through surfaces, and it may be spread by individuals who are pre-symptomatic or asymptomatic.

My participation in Soccer Activities as a trialist will substantially increase my risk of exposure to COVID-19, given that, by their nature, Soccer Activities involve person-to-person contact. I agree to assume full responsibility for any resulting Virus Risks, whether they be known or unknown.

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS GROVE SOCCER ACADEMY, THE GROVE FOUNDATION AND THEIR AFFILIATES (“LEAGUES”) IN ADDITION TO EACH OF THE LEAGUES’ CLUBS AND THEIR RESPECTIVE AFFILIATES, and each of their respective directors, officers, officials, agents and/or employees, associated personnel, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (“Releasees”), from any and all claims, demands, losses, and liability arising out of or related to any ILLNESS, INJURY, DISABILITY OR DEATH that I or a third party may suffer as a result of the Virus Risks or the Soccer Activities, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Do you consent? *

Date of Consent *

Date

Parent Name *

First Name Last Name

Participant or Parent/ Guardian Signature *

Clear

Once you click submit you will be taken to the payment portal.

Questions or Comments

GSA 2022 SUMMER CAMPS & CLINICS

PARTICIPANT INFORMATION:

PARENT/GUARDIAN INFORMATION:

MEDICAL INFORMATION

GSA CLINIC PAYMENT

WAIVER

COMMUNICABLE DISEASE RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT