Clone of Peak Futbol Academy Soccer School Pre-register form

1
Parent Full Name* This field is required.
First Name
Last Name
2
Athlete Full Name* This field is required.
First Name
Last Name
3
Contact Email* This field is required.
example@example.com
4
Contact Phone Number* This field is required.
Area Code
Phone Number
5
Athlete's Age* This field is required.
years
6
First, which of these best describes your athlete?* This field is required.
Just getting started with soccer
Has played on a rec or youth team
Currently playing on a club team
Training seriously and looking to play at the highest level
7
The player assessment will only provide value to kids who want to improve and grow. Do you believe your child wants to grow in soccer?* This field is required.
Yes, my child wants this!
Yes, but my child wants more information!
I haven't asked my child yet!
No, my child is not wanting this!
8
The player assessment includes the building of a 90-day plan for your child. This implies a high level of parent involvement in terms of accountability, and self-discipline. Do you believe you are ready for this as a parent?* This field is required.
Yes, I'm ready to help my child grow!
Possibly, but I'd like to learn more about my responsibilities!
Not sure yet!
9
What is the biggest frustration or challenge that your child is facing in their soccer development that you want to see fixed? * This field is required.
Huge
Large
Normal
Small
Ok
Ok
10
How many of you children are you interested in getting player assessments?* This field is required.
1
2
3
4
11
The player assessment will take place either in The Dalles, OR or Hood River, OR. Is that location close enough for your family to commit?* This field is required.
Yes
No
12
How did you hear about us?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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TERMS & CONDITIONS Soccer is a contact sport and, as such, injuries do happen. While Peak Futbol Academy LLC will take every precaution to ensure injuries do not occur during their coaching sessions and league matches, Peak Futbol Academy LLC, their coaches, staff and players will not be held responsible or liable for any permanent injuries or losses of property to your child that may occur arising from any cause whatsoever during their time at a coaching session or league match. Peak Futbol Academy LLC, their coaches, staff and players will not be held responsible or liable for any permanent injuries or losses of property to Parents or relatives of Peak Futbol Academy LLC that may occur arising from any cause whatsoever during their time at a coaching session or a match. We would advise parents to get themselves covered with your own personal insurance in relation to any sports-related injuries. Should Peak Futbol Academy LLC be unable to contact the child's parents, I hereby give my permission to Peak Futbol Academy LLC to seek medical assistance for my child. I will bear full financial responsibility for any costs incurred. Peak Futbol Academy LLC holds the rights to use images & videos & film of players for all Peak Futbol Academy LLC marketing purposes. Peak Futbol Academy LLC holds the rights for photos, videos, or film likeness to be used for any legitimate purpose including video team analysis by the activity holders, producers, sponsors, organizers, and assigns. The person entering this form MUST be the child's parent or legal guardian. By clicking that you “agree to the terms & conditions” below means that you have read, understood, and you consent to be bound by all the terms & conditions of the agreement governing Peak Futbol Academy LLC. Thank you.
AGREE with terms and conditions
DISAGREE with terms and conditions
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I am so excited that you decided to reach out to me to help your child with their soccer skills. I'll reach out soon with more details!
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