GLGK West Side Fall Indoor Registration U9-U11

GLGK West Side Winter 2 Indoor Registration U13-U18

7:00p - 8:00p February 9th - April 20th Force Sports Rocky River 21220 Center Ridge Rd, Rocky River, OH 44116
Player Name*

First Name Last Name
Player Age*
Address*

Street Address

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Email*
Club Team*
School Team*
Shirt Size*
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Emergency Contact*
Emergency Contact Phone Number*
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.*

I have read, understand and agree to the waiver
My Products
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Great Lakes Goalkeeping West Side Indoor $350.00

First Five Weeks $200.00
2-9 to 3-9

Second Five Weeks $200.00
3-16 to 4-20

Total $0.00

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GLGK West Side Winter 2 Indoor Registration U13-U18