“Story time with a soccer ball”
KINDER SOCCER ACADEMY is back! For more information regarding the program please contact your
school, see our website at www.kindersocceracademy.com, or email us at [email protected]
And this is why you need to sign up now:
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Kids love our age appropriate curriculum
✓ Weekly practice –rain or shine!
FUN for everyone rather than competition
✓ Kids get excited about sports
Improved motor development
✓ Kids love our highly qualified coaches
Learning soccer skills in a FUN way
✓ Convenient and safe
Tuition
$90 for Primary Students (30 minute sessions) Wednesdays 3:15-3:45pm Limit 25 Students
$120 for Lower Elementary 1st through 3rd graders (45 minute sessions) 3:15-4:00pm Limit 20 Students
Program Dates: Wednesdays, March 5th – May 28th
*** REGISTRATION FORM ***
Child’s Name ________________________________
Classroom# (if in Primary Late Day indicate 101 or 400)_______ Date of Birth __________
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Boy □ Girl
Street ___________________________________________________________________________________
City/State/Zip_____________________________________________________________________________
Parent Name(s) and Phone(s) ________________________________________________________________
Email Address____________________________________________________________________________
I intend to allow my child to participate in the KINDER SOCCER ACADEMY and recognize that soccer is a collision sport and the risk of physical injury is
inherent to the sport. I certify that my child is medically sound and physically fit to play soccer. I am aware of and voluntarily assume all risks – regardless of
their causes – to my child, including accidental injury or injury caused by the negligence of others, arising from his/her participation in the KINDER
SOCCER ACADEMY and/or its activities, including participation in the sport of soccer. Furthermore, I understand conditions of the playing field can vary
and can increase the risk of personal injury. I will note the weather conditions and the condition of the field and I voluntarily assume all risks to my child
arising from such conditions. I will not hold KINDER SOCCER ACADEMY or any of its officers, employees or agents liable in damages for any injuries
my child might sustain while participating in the KINDER SOCCER ACADEMY and any activities sponsored by it. I hereby release and forever hold
harmless KINDER SOCCER ACADEMY and all of its officers, employees or agents from any liabilities, claims damages or losses arising from or in any
way relating to my child’s participation in the soccer activities. My signature below indicates that I have carefully read the registration form, accurately
completed it, and fully understand the Release and Assumption of Risk, which I am voluntarily signing, will bind me, my heirs, and my personal
representatives.
Parent/Guardian Signature _____________________________________Date ______________
Make your check payable to Brookridge Soccer Consultants attach to this form and
turn it into the Office