Private Class Registration Form

Number of Athletes*

Athlete Information

Athlete 1 Name*

First NameLast Name

Birth Date*

MonthDayYear

MaleFemale

Athlete 2 Name*

First NameLast Name

Birth Date*

MonthDayYear

MaleFemale

Athlete 3 Name*

First NameLast Name

Birth Date*

MonthDayYear

MaleFemale

Athlete 4 Name*

First NameLast Name

Birth Date*

MonthDayYear

MaleFemale

Athlete 5 Name*

First NameLast Name

Birth Date*

MonthDayYear

MaleFemale

Athlete 6 Name*

First NameLast Name

Birth Date*

MonthDayYear

MaleFemale

Athlete 7 Name*

First NameLast Name

Birth Date*

MonthDayYear

MaleFemale

Athlete 8 Name*

First NameLast Name

Birth Date*

MonthDayYear

MaleFemale

Athlete 9 Name*

First NameLast Name

Birth Date*

MonthDayYear

MaleFemale

Athlete 10 Name*

First NameLast Name

Birth Date*

MonthDayYear

MaleFemale

Athlete 11 Name*

First NameLast Name

Birth Date*

MonthDayYear

MaleFemale

Athlete 12 Name*

First NameLast Name

Birth Date*

MonthDayYear

MaleFemale

Parent/Guardian Information

Parent/Guardian Name*

First NameLast Name

Relationship*

Phone Number*

Format: (000) 000-0000.

E-mail*

example@example.com

Emergency Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Emergency Phone Number*

Format: (000) 000-0000.

Alt. Phone Number

Format: (000) 000-0000.

Does / do any of the athlete(s) have any allergies, chronic illness, or medical conditions? If yes, please describe.*

Is / are any of the athlete(s) prescribed an inhaler? If yes, please explain any instructions.*

Preferred Class Location*

Informed Consent, Assumption of Risk & Liability Waiver

I, the undersigned parent/guardian, give permission for my child/children to participate in 1-on-1 soccer training with NJ Pride FC.

I understand that participation in physical activities, including soccer, involves some inherent risks such as minor sprains, strains, or falls. While NJ Pride FC takes every reasonable precaution to ensure a safe environment, I acknowledge that injuries can occur.

I voluntarily assume these risks and agree that NJ Pride FC, its coaches, staff, and affiliates shall not be held responsible for injuries or accidents that may occur during normal participation, except in cases of gross negligence or misconduct.

In the event of an emergency, I authorize NJ Pride FC staff to seek appropriate medical care for my child if I cannot be reached. I understand that I am responsible for any medical expenses incurred.

I also acknowledge that NJ Pride FC may take photographs or videos during sessions for promotional purposes. If I do not consent to this, I will notify NJ Pride FC in writing.

This agreement is governed by the laws of the State of New Jersey. If any portion of this agreement is found to be unenforceable, the remaining provisions shall remain in full effect.

Price:

$100 per Session for 1-3 Athletes

$35 per Athlete per Session for 4+ Athletes

Session duration is between 40-60 minutes depending on athlete(s) age.

* Payment is required to reserve your session. Our team will reach out to you to coordinate your training date, time, and location.

Checkout*