Fit 'N' Fun
Soccer
SideKicks is the
BEST!!
Boosts
Self Esteem
& Confidence
Develops
motor skills
Sidekicks Registration Form - 2016
(Return payment plus this form to the Sidekicks tuition box at your school)
School
Registration Date _____________
Child’s Name
Age
Address:
City ______________________ State _____ Zip
___________
Parent/Guardian Name _________________________________________________
Phone # ________________________
E-Mail __________________________________________________
(sign up for our newsletter at www.northgeorgiaunited.com)
MORE INFO – 888-459-1118 or [email protected]
**To cancel registration, parents must contact sidekicks in order to have child removed from roster.
Payments past due 3 months are subject to a $60 late fee. With $10 each add ons for each week
past due beyond 3 months**
Season Tuition:
First session starts on Wed March 9
$110.00
th
2016
Sidekicks t-shirt
Sidekicks Soccer Ball
$20.00
$15.00
(Equipment optional)
Total $
(Also register online: www.Northgeorgiaunited.com (go to soccer sidekicks)
Waiver: Parent or guardian must sign above before player is allowed to participate in the sidekicks program: As the guardian of the above-mentioned
child, I hereby adhere that the child has been declared fit to participate in activities such as soccer sidekicks. I realize that there are risks in
participating in this athletic program. For this reason I do accept responsibility and agree to pay any and all costs of medical treatment resulting from
any injury suffered by my child as a result of his/her participation in soccer sidekicks. I further agree to recompense and hold harmless North Georgia
United Soccer Club, its agents, staff, employees and/or representatives from any and all liability, damages, costs or expenses arising out of my child’s
participation, of all nature, in sidekicks events. In the event that I cannot be contacted in an emergency, I give permission for care to be administered
by a qualified sidekicks staff member, EMT, physician/staff of a hospital, or any other qualified individual to provide any medical treatment deemed
necessary for my child. Sidekicks may use photographs or videos of my child while participating in sidekicks activities. .
Signature of parent or legal guardian:
_____________________________________________