Player Registration

Thank you for registering with Moementum Soccer. Your registration is complete.

There was an error trying to process your registration. Please review the form inputs and try again.

Player Info

Tell us about your soccer player

First Name

Last Name

Birth Year

Player Experience Level

Beginner (0-2yrs)

Intermediate (2yrs +)

Competitive Athlete (currently plays club soccer)

Allergies & Relevant Medical Conditions

Training Info

What areas of the soccer game would you like to focus on?

Training Goals

Parent or Guardian

Who's responsible for this superstar athlete?

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Phone

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