Select Location (required)Fallsmeade Elementary School - 6/17 to 6/21 - Half Day $220Fallsmeade Elementary School - 6/17 to 6/21 - Full Day $300Fallsmeade Elementary School - 6/23 to 6/28 - Half Day $220Fallsmeade Elementary School - 6/23 to 6/28 - Full Day $300Cedar Creek Park: HS Prep – 8/5 to 8/9 - Half Day $220
Player Name (required)

Gender (required)
MaleFemale


Date of Birth

Primary Parent Guardian Name (required)

Address

Zip code

City/State

Your Email (required)

Medical conditions or Food Allergies

Emergency Contact Name

Emergency Contact Number


I approve that my child is in excellent physical health and have no known medical condition which prohibits participation in strenuous physical activities, including soccer. I agree to waiver or release Gnatiko Soccer Academy or anyone associated with GPS from any and all liabilities for any injuries or illness sustained while participating in training. I also agree to assume financial responsibility for any personal injuries or negligent act by my child while participating in training. Any action from my child that puts the safety of anyone associated with the organization in danger will result in dismissal from the training. I have carefully read this agreement and fully understand its consents. I am aware that this is a release of liability for myself and my child and a contract between myself, my child and Gnatiko Soccer Academy and I have signed it on my own free will.Half DayFull Day