Futsal Youth Academy

Players Date of Birth *

Email: *

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Parents Name: *

E-Signature

PLACING YOUR INITIALS IN THE BOX ABOVE AND CHECKING THE CONFIRM E-SIGNATURE YOU ARE VERIFYING THAT YOU ARE THE PARENT AND OR LEGAL GUARDIAN OF THE ABOVE MENTIONED PLAYER AND AGREE TO THE ABOVE MENTIONED TERMS.

Player Name:

Parent/Guardian E Signature Initials: *

Email: *

Check here to receive email updates

Phone Number: *

Gender *

Male

Female

Parent/Guardian Full Name:

Gender *

Male

Female

Waiver *

I/we hereby agree that Cincy Futsal including Clinics/Camps instructors/coaches shall not be liable for any injury or loss which my child(ren) may sustain while participating in this soccer training, and I agree to indemnify and to hold harmless Cincy Futsal including Combine/Clinics/Camps Training and any or all of the instructors/coaches from any claim whatsoever.I/We, the undersigned for ourselves, our heirs, executors and administrators waive, release and forever discharge Cincy Futsal including Combine/Clinics/Camps and its staff, officers, agents, employees, representatives and successors and assigns of and from all rights and claims for damages, injury or loss to person or property which may be sustained or occur while participating in training activities or while at training, whether or not damages, injury or loss is due to negligence. Cincy Futsal reserves all rights to use photographs for marketing purposes. If you would like your child excluded from any marketing materials you must contact us via email before the player participants in any event.

Parents Name: *

Phone Number: *

Choose Camp (You can select more than 1) *

Summer Camp

Summer League

Winter Training 6 Weeks Session 1 Nov-Dec

Winter Training 6 Weeks Session 2 Jan-Feb

Winter Training 6 Weeks Session 3 Feb-March

Winter Training 12 Weeks 1st and 2nd Sessions

Winter Training 12 Weeks 2nd and 3rd Sessions

Winter Training 18 Weeks

Assessment Night

Birth Year: *

Players Name:

Players Date of Birth *

Parent Name: *

E-Signature

PLACING YOUR INITIALS IN THE BOX ABOVE AND CHECKING THE CONFIRM E-SIGNATURE YOU ARE VERIFYING THAT YOU ARE THE PARENT AND OR LEGAL GUARDIAN OF THE ABOVE MENTIONED PLAYER AND AGREE TO THE ABOVE MENTIONED TERMS.

Player Name: *

Waiver *

I/we hereby agree that Cincy Futsal including Clinics/Camps instructors/coaches shall not be liable for any injury or loss which my child(ren) may sustain while participating in this soccer training, and I agree to indemnify and to hold harmless Cincy Futsal including Combine/Clinics/Camps Training and any or all of the instructors/coaches from any claim whatsoever.I/We, the undersigned for ourselves, our heirs, executors and administrators waive, release and forever discharge Cincy Futsal including Combine/Clinics/Camps and its staff, officers, agents, employees, representatives and successors and assigns of and from all rights and claims for damages, injury or loss to person or property which may be sustained or occur while participating in training activities or while at training, whether or not damages, injury or loss is due to negligence. Cincy Futsal reserves all rights to use photographs for marketing purposes. If you would like your child excluded from any marketing materials you must contact us via email before the player participants in any event.

CLUB PARTNERS