Player Registration

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Responsible Party

Who's responsible for these superstar athletes?

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Phone

Group Info

Provide some information about the group

How many players

2-4 players

5-6 players

7-8 players

9+ Players

Group Age Range

5 and Under

6-9 years old

10-13 years old

14+

Group Dynamics

Boys

Girls

Coed

Release of Liability and Waiver, Assumption of Risk and Indemnification

I hereby acknowledge that I give approval for my child to participate in any and all activities produced during the training sessions with Moementum Soccer Academy LLC. I further attest that I have read, fully understand, and agree with the following representations and conditions:

I am aware of the risks of participating in the program/activities, and assume all risks, foreseeable and unforeseeable, in any way connected with my child’s participation herein.

I agree to indemnify and to hold harmless Moementum Soccer Academy LLC, and any of its members listed within the business or individuals with regards to any claim or expenses (including attorneys’ fees, claims by a third party or that I might make, or that might be made on my behalf) in any way connected with a claim resulting from my child’s participation in the above listed program/activity. I have read and fully understand, agree to, and accept voluntarily all provisions of this Release of Liability and Waiver, Assumption of Risk, and Indemnification

I hereby give my approval for my child to be potentially filmed while participating in the trainings and understand those photographs and videos may be used for printed publications and other publicity materials, on our website and social media platforms, or both.

BENEFITS OF MOEMENTUM SOCCER

LEARN MORE

Skills Development
Physical Fitness
Tactical Understanding
Tailored for Results
Discipline

Seeing the Field
Strategic Game Play
Cultural Appreciation
Teamwork
Lifelong Enjoyment for the Sport

OPENING HOURS & CONTACT

BY APPOINTMENT ONLY

+1 970.371.9208
[email protected]