GLGK East Side Winter 1 Indoor Registration U9-U13
6:00p - 7:00p Nov 14th- Feb 6th Ohio Sports Complex. 36540 Biltmore Pl, Willoughby, OH 44094
Player Name
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Address
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Street Address
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Email
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example@example.com
Club Team
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Youth Small
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Winter 1 East Side Goalkeeping
$350.00
$
350.00
First Five Weeks
$200.00
$
200.00
Second Five Weeks
$200.00
$
200.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Release I verify that my child has been checked recently by a physician and is physically able to participate in soccer activities. Also, as a parent/guardian, I authorize any first aid or emergency care that may become necessary for my child while he/she is participating. Further, I understand that there is an inherent risk of injury in playing soccer. Consequently, I hereby release and hold harmless, Great Lakes Goalkeeping Academy, Jason Kubbins, Andy Hogarth, their staff and from liability should any injury, loss of life, or loss/damage to equipment that may occur during the camp. By executing this document, I hereby assume all risk of injury or lost or damaged property. In case of emergency, this form and signature will serve as authorization for a hospital to administer medical treatment. All pictures, videos, and contact information collected by Great Lakes Goalkeeping Academy may be used at the discretion of Jason Kubbins for promotional use.
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