TACKLE MICRO-DEVELOPMENT OUTDOOR PROGRAM

TACKLE SOCCER ACADEMY MICRO-DEVELOPMENT PROGRAM

PLAYER REGISTRATION FORM
PROGRAM DATE

📅 Mondays and Wednesdays 6:00 - 7:30 PM | 📍 Stouffville District Secondary School
PROGRAM OVERVIEW

Our Micro-development Program is designed to introduce young athletes to the fundamentals of soccer in a fun and engaging way. Sessions focus on mastering core skills such as dribbling, passing, shooting, defending, and movement, while also teaching teamwork, discipline, and sportsmanship. With supportive coaches and a positive, energetic environment, players will build confidence, improve coordination, and lay a strong foundation for future growth in the sport.
Player Information
Name

First NameLast Name
Date of Birth (MM/DD/YYYY)

MonthDayYear
Date
Gender

Other
Parent/Guardian Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact (if different)

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical & Safety Information
Allergies or Medical Conditions:
Medications:
Emergency Action Plan (if applicable)
Payment Information
The registration fee for the outdoor season is:

$400 for 2 sessions a week.
$250 for 1 session a week.

The program will last from May 20th to October 12th.

To confirm your child’s spot, please send payment by e-transfer to:

📧 2012tacklesocceracademy@gmail.com

Your registration will only be finalized once payment is received. Please include your child’s full name in the e-transfer message for easy tracking. Spots are limited, so we encourage you to complete payment as soon as possible.
Waiver & Consent
I, the undersigned, understand and agree that TACKLE Soccer Academy, its coaches, and staff are not responsible for any injury, loss, or damage sustained during training, games, or travel. I acknowledge that participation in soccer activities involves inherent risks and agree to release and hold harmless TACKLE Soccer Academy from any and all liability. I also confirm that my child is physically fit to participate in the program and that I will inform the academy of any medical conditions that may affect their participation.
Do you give permission for your child’s image (photo or video) to be used for academy promotional purposes such as social media, website, and marketing materials?
Agreement Checkbox
Parent/Guardian Signature
Additional Information
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TACKLE SOCCER ACADEMY MICRO-DEVELOPMENT PROGRAM

PROGRAM DATE

PROGRAM OVERVIEW

Player Information

Parent/Guardian Information

Medical & Safety Information

Payment Information

Waiver & Consent

Additional Information