Soccer Training Clinic Registration
Register for the clinic and review the waiver and photo authorization.
Participant Full Name
*
First Name
Last Name
Participant Age
*
Parent/Guardian Name (if participant is under 18)
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Photo Authorization: I authorize the clinic to take and use photographs/videos of the participant for promotional purposes.
*
Yes, I authorize
No, I do not authorize
Liability Waiver & Release:
By signing below, I understand that participation in soccer training and athletic activities involve risks of injury. By registering my child for Wide Open Futures programs, I acknowledge and accept these risks. I hearby release and hold harmless Wide Open Futures, its coaches, staff, volunteers, and affiliates from any liability, claims, demands, or causes of action arising from participation in training sessions, camps, or other related activities. I certify that my child is physically able to participate in soccer activities. I also authorize medical treatment if necessary.
I have read and agree to the waiver and release of liability above.
*
Yes, I agree
Signature of Participant or Parent/Guardian
*
Registration Submission Notice:
Once your registration has been reviewed, a member of the Wide Open Futures team will contact you regarding payment and next steps. Current Payment methods accepted are Zelle and Cash. Please note that submission of this form does not guarantee placement until registration review and payment confirmation are completed. We look forward to working with your athlete!
Register
Register
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