Futsal Winter Registration Form

FUTSAL TRAINING PROGRAM Registration
PLAYES INFORMATION:
Player Name*

First NameLast Name
Birth Date*

MonthDayYear
Male/Female*
I wish to practice in:
All games played at Bandera Sports Complex
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Fecha

MesDíaAño
FechaHoraAM/PM Option
Agenda
UNIFORM INFORMATION
Youth Shirt
Adult Shirt
Injury Waiver and General Release form

By checking the box below i acknowledge the risks associated with an event or activity and to release Elite Pro Training from liability for any injuries or damages that may occur.

By signing, participants agree not to hold the organizers responsible for accidents or injuries, even if caused by negligence.

Usage of Images: I grant permission for [Elite Pro Training] to use and take images for the purpose of promoting our training sessions and encouraging others.

By Sign below you've agreed to our terms and conditions on Injury Waiver and General Release Form.
Firma

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REGISTRATION PAYMENT
Full Price ($300) 2 sessions per week

Half Price ($150) 1 session per week

Registered player will receive a t-shirt for $8

Your child must be 12 years or older to register.

Program 1 on 1

WINTER PROGRAM . 2 Session per Week $308.00

training Shirt include

WINTER PROGRAM 1 Session per Week $158.00

training Shirt include

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty: