Kendall Victory Soccer Venue-Saturdays 10am

Raptors Soccer Academy Kendall

(Saturdays 10am-11am)

8 week Season

Participant Registration Form

My Products*

Saturdays KendallAges 2-13. 8 week season. Participant can attend classes Saturdays at 10amKendall Victory Soccer Venue All sales are final. No Product may be returned to Seller without Seller's prior written authorization.

$239.00

Uniform

$50.00 Quantity

Processing Fee

$9.99

Enter coupon

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Afterpay

Player first name*

Player last name*

Date of birth*

Date

Age

Male or female

MaleFemale

Street address*

Street address line 2

City*

State*

Postal zip code*

Parent/Legal Guardian 1 Full Name*

Email Address *

Phone number*

Parent/Legal Guardian 2 Full Name

Phone number

Email address

example@example.com

List any Player health problem/prohibition we should be aware of:*

If none, please list N/A

What is Player jersey size?

Practice jersey's are provided to first time participants only

Player Participation Risk Statement

I, the Parent or Legal Guardian of the above-named participant (the "Player"), agree that the Player will abide by the rules of Raptors Soccer Academy, LLC. I fully understand that participating in the sport of soccer presents a risk for serious injury and death, and in consideration for Raptors Soccer Academy, LLC, am accepting Player participation in the soccer program and its activities (the "Programs"). I hereby release, discharge, and/or otherwise indemnify Raptors Soccer Acedmy, LLC, its affiliated organizations and sponsors, their employees, including the owners of the fields and facilities used for the Programs against any claim by or on behalf of the Player as a result of the Player's participation in the Programs. The Player has received a physical examination by a licensed physician and has been found physically capable of the Programs. I hereby consent to have an athletic trainer and/or doctor of medicine and/or dentist provide the Player with medical assistance and/or treatment in the event of a medical emergency and agree to be responsible financially for the cost of treatment.

Parent/Guardian Signature*

Do you grant permission for Raptors Soccer Academy, LLC to use pictures or videos of your child in print or online materials designed for news, informational, promotional or educational purposes related to its soccer program, and without compensation?*

I grant permissionI do not grant permission

Parent/Legal Guardian Full Name *

Parent/Legal Guardian Signature *

Date*

Date

Where did you hear about us?