Program
Pre travel
Location
Academy learning center
Age
6 - 7
Date
Sat Jan 11th to Sat Mar 15th 2025
Time
11am - 12pm
Sessions
10 Sessions: Every Saturday
Notes
Indoor soccer shoes or sneakers
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Parent Details

First Name *
Last Name *
Email Address *
Cell Phone *
Emergency contact (if different) Specify a different emergency contact
Contact Name *
Phone Number *

Player Details

First Name *
Last Name *
Gender *
Birth Date *
v
Allergies *

Payment Details

Amount
$200
Card Type *
Name On Card *
Card Number *
Expiration Date *
First Data Global Gateway
Shatliff Soccer utilizes the First Data Global Gateway to process all credit card transactions. All transactions use Secure Sockets Layer (SSL) Encryption to protect your information.

Confirmation

WAIVER: I certify that my child is in excellent health and is able to participate in physical activity including soccer, sporting activity, club training sessions, competitive soccer games, tournaments and scrimmages. I agree to hold Shatliff Soccer, its agents, employees and contractors harmless from any and all claims for injuries sustained during my child's participation in the program. Permission is granted for my child to receive emergency medical treatment.

COVID-19: I agree to adhere to all government advised COVID-19 protocols, and assume full and sole responsibility for all associated risks related in any way to my child's participation in the program.

CONTACT: You MUST provide a valid email address to receive your program confirmation and all further program information.
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