Asante University/ College Showcase
Team Contact Person
Street Address Line 2
State / Province
Postal / Zip Code
Contact Person email
Contact Person Phone number
Please enter a valid phone number.
I herby register my team and I do understand that there is a potential for injury while participating in the programs offered and I agree to hold harmless Asante Soccer Academy (ASA), The Team, Officials, League, or District Associations from any and all injuries sustained while playing for ASA at practice, games, or events.
I consent to my team being publicized, filmed, audio taped, photographed, interviewed by employees. agents or servants of ASA.
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Payment can be made by etransfer to firstname.lastname@example.org, cash or Cheque: Payable to: Asante soccer Academy.
Should be Empty: