Clinic Registration

Monday Night Soccer Goalkeeper Clinic - Carroll County (L5-GK-210913-SM)

Player Information

Medical Information

Parent Information (Parent #1)

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Information for parent #2 is not required, but is helpful for communications and in event on emergencies.

Parent Information (Parent #2)

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Emergency Contacts

Policies

Please read and agree to our Release of Liability agreement. You must accept the agreement before your child can participate in our programs.

Assumption of Risk, Indemnity and Registration Account Agreement

In consideration of participating in the Level 5 Athletics program, I, the minor’s parent/legal guardian, understand the nature of this activity. My child is qualified, in good health, and in proper physical condition to participate in such activity. If I believe event conditions are unsafe, I will immediately discontinue participation. I fully accept and assume all risks and all responsibility for losses and damages that may incur as a result of my child’s participation. I hereby release, discharge, and covenant not to sue Level 5 Athletics, its respective administrators, employees, other participants, and sponsors, and, if applicable, owners and leasers of premises on which the activity takes place, (each considered one of the “releasees” herein) from all liability, claims, demands, losses, or damages. I further agree that if, despite this release, I, or anyone on my behalf makes a claim against any of the releasees, I will indemnify, save, and hold harmless each of the releasees from any loss, liability, damage, or cost, which may incur as the result of such a claim. I have read the Release and have signed it freely and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law.

Please read and agree to our Photo Policy. You must accept our photo policy before your child can participate in our programs.

Photo Policy

Level 5 Athletics takes photos at many clinics, camps and sessions. Unless expressly cited in writing to exclude my child, I understand that the images may be used in Level 5 publications and marketing materials.

Submission & Registration Fee

When you submit this form, you will be directed to our payment portal. Payments are only refunded if the camp is canceled.  No other refunds will be given.

Please enter the child’s name during checkout.  Thank you!

Registration is not complete until payment has been received.

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