Register for 8 Week Session 1
September 8 - October 27, 2024
Athlete Full Name
*
First Name
Last Name
Athlete Date of Birth
*
-
Month
-
Day
Year
Date
Athlete Gender
*
Female
Male
Session Athlete will be Attending
*
Ages 2019-2016: 4:30-6:00 PM
Ages 2015 & above: 6:00-7:30 PM
T-Shirt Size (Required with first session registration with registration fee)
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Parent Full Name
*
First Name
Last Name
E-mail:
*
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Refund Policy
Fees are not refundable and not transferable.In the event that a player is injured during the season and cannot play or practice for the remainder of the season, Ballers Elite may consider providing a partial refund. Families must submit a written request with a physician note to fabian@ballerselite.co.In the event that a family relocates out of the area during the season Ballers Elite may consider a partial refund on a case-by-case basis. Families must submit a written request to fabian@ballerselite.co.Please note that refundable amounts are time-sensitive as costs accrue to Ballers Elite for services provided to each session on player headcount each session. Consequently, the refundable amount will be affected by the date you request the refund, not the date of the event.
Informed Consent and Acknowledgement
I hereby give my approval for my child’s participation in any and all activities prepared by Ballers Elite during the selected Futsal Sessions. In exchange for the acceptance of said child’s candidacy by Ballers Elite, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Ballers Elite. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.In case of injury to said child, I hereby waive all claims against Ballers Elite. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including Futsal and Soccer. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Medical Release and Authorization
As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.Permission is also granted to the Ballers Elite . and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.Release authorized on the dates and/or duration of the registered season.This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
Initial here to indicate you have read and agree with the above policies
*
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8 Week Session
$
300.00
Quantity
1
Registration Fee
Assessed once a year
$
75.00
Quantity
1
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