Asante University/ College Showcase
Team Contact Person
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Person email
example@example.com
Contact Person Phone number
Please enter a valid phone number.
Coaches Name
First Name
Last Name
Coaches Email
example@example.com
Team Name
Age group
U13
U14
U15
U16
U17
U18
Waver
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 Agree
I consent to my team being publicized, filmed, audio taped, photographed, interviewed by employees. agents or servants of ASA.
I Agree
Confirmation
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.
I Agree
Signature
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Payment
Payment can be made by etransfer to r.baah@asanteacademy.com, cash or Cheque: Payable to: Asante soccer Academy.
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