Registration form - U8 U10 Academy Level

VINOTINTO ACADEMY FC x FC ATLANTA

ACADEMY LEVEL U8 , U10 , U12 registration form - (Haga su registracion para comenzar a entrenar!)
PLAYER INFORMATION
Full Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date:*

MonthDayYear
Gender:
T-Shirt Size:*
Los uniformes deben ordenarse a traves de la website Diaza https://diaza.com/pages/fc-atlanta
Spring Season: March to JuneSummer Season: July to AugustFall Season: Sept, Oct, 3rd week of November (Last week of November OFF - Fall Break).INDOOR Winter Season: December, Christmas vacation, January, February, March until Saturday 16 (possibility of being extended one more week indoor)
EACH SEASON DATES
I understand that my registration is on a seasonal basis (it is not month to month). I understand that if I start the 1st day of the season that means I am registered the whole season and I have to pay the whole season. If I decide not to attend until the end of the season due to a personal decision, there will be not refund of the cost paid or If I chose deferred payments or monthly installments I am obliged to finish the payments for the whole season I started. I understand that this seasonal registration is updated on an ongoing basis to facilitate the continued training of registered players so that I do not have to sign this document each season if I am going to continue the next season. I understand that if I decide to do not continue the next season I must notify before the new season starts to administration (Andrea Reinhold 770-778-3658 or Info@VinotintoAcademyFC.com) on a mandatory basis and administration will send me a proof receipt, so that the player's US Youth Soccer Card ID can be released and the Registration will be cancelled.
OUR TRAINING PROGRAMS ARE SHORT SEASONS.

📍 OUTDOOR TRAINING ADDRESS:

Our home location is Lucky Shoals Park

4651 Britt Rd, Tucker, GA 30084.

However, our field will be undergoing natural grass maintenance in June and July 2025.

Our Training will be temporarily held at:

BRYSON PARK in June 2025 and July 2025.

Field: 2.

Tuesday and Thursday

6:30pm to 7:30pm
YesNo
PARENT/GUARDIAN #1
Full Name:*

First NameLast Name
E-mail:*
ejemplo@ejemplo.com
Cell Phone:*
Format: (000) 000-0000.
Relationship to Player:
WAIVER INFORMATION
I hereby grant permission to allow my child to participate in activities (soccer) as sponsored by the Vinotinto Academy. Furthermore, I hereby release the Vinotinto Academy, it’s officers, agents, and coaches from any legal or financial responsibility resulting from actions of, or injury to my child while engaged in any or all of these sponsored activities (i.e. practices, games, competitions, recreative activities). I also certify that my child has NO HEALTH OR PHYSICAL IMPAIRMENTS which will hamper his/her ability to perform as a player/cheerleader or cause his/her participation to be unsafe to themselves or other participants. If there are any health/physical problems the Vinotinto Academy should be aware of please indicate below:
Health/Physical Limitations (You are not required to fill out - no es obligado llenar):
Insurance Carrier (You are not required to fill out - no es obligado llenar):
Policy# (You are not required to fill out - no es obligado llenar):
YesNo
Registration payment

Choose your payment option and make the payment
CASHZELLECARD (debit, credit, applepay, bank account)
CASHZELLECARD (debit, credit, apple pay, bank account)OTHER
Parent-Guardian SIGN*

Clear
Sign Date*

MesDíaAño
Date
Should be Empty:

VINOTINTO ACADEMY FC x FC ATLANTA

PLAYER INFORMATION

EACH SEASON DATES

PARENT/GUARDIAN #1

WAIVER INFORMATION

Registration payment