Training Registration

Participant Name*

First NameLast Name

Birth Date*

MonthDayYear

Which program are you registering for?*

10 Sessions $50015 Sessions $75020 Sessions $1,000

Parent/Guardian Name*

First NameLast Name

Cell Phone*

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact*

First NameLast Name

Emergency Contact Cell Phone*

Emergency Contact E-mail*

example@example.com

Will the participant need to have access to medicine or an inhaler?*

YesNo

If selected yes above, please specify in detail what medications/inhaler and sign the additional consent form below.

Which program are you registering for?*

10 Sessions $50015 Sessions $75020 Sessions $1,000

I. I or my child is in good normal health and has my permission to participate in all training activities. In addition, I authorize Amartey Sports training to act for me in securing medical treatment in the event of an emergency, illness, or injury. Amartey Sports training assumes no responsibility and will not be held liable for any accident resulting in medical, dental, or any other expenses. Each participating child is required to carry personal medical insurance coverage and understands the risk involved in playing competitive soccer.

ll. I hereby request that Amartey Sports Soccer trainers permit the participants identified above to use an inhaler/medication at training when needed. I agree to release, indemnify, and hold harmless Amartey Sports from lawsuits, claims, expenses, demand, or action, etc. against them for assisting participants with the inhaler or medication provided Amartey Sports trainers are following physician orders as written below.

I agree to the above conditions*

YesNo

Today's Date*

Date

Please complete the registration form and the Sports Training Liability Waiver on the next page and send payment to: venmo.com/stephen-Alabi-1

Once payment is received, you will be contacted to schedule your training sessions.
Thank you.

Please verify that you are human*

First Touch Speed Registration