Pre-registration form U05 to U13

Player Information

Name

First Last

Gender*

Date of birth*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Region*

Email adress*

Enter Email Confirm Email

Does the player have allergies?

If player has allergies, list them here. If you indicated “Yes” above, please include a list of allergies here. If you indicated "No" above, please type "N/A" or "No" as verification that the player does not have any allergies.

Allergy Verification

Please type the full name of your current club or academy – if you are not registered with a club or academy simply type “N/A”.

Current Club Academy

Registration Agreement

Refund Policy

– If you unregister 30 days or more prior to the first session, you will get a 50% refund, less a $50.00 administrative fee. – After that timeframe, there will be no refund. – We acknowledge that there can be medical exceptions. Any medical exceptions must be documented by our medical staff and require a written assessment from your family physician.

Refund Policy

I agree to the stated refund policy

Agreed

Electronic Communication

Montreal Manic FA may be required to contact you via email or other electronic means to provide updated information regarding both the event you have registered for and for upcoming events.

Electronic communication

I consent to receiving electronic communications.

Agreed

COVID-19 CLAUSE

IN CONSIDERATION OF my child/ward being allowed to participate in any way in the related events and activities, the undersigned acknowledges, appreciates, and agrees that: The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) to my child from the activities involved in these programs are significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and, 1. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my child’s participation; and, 2. I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child’s readiness for participation and/or in the program itself, I will remove my child from the participation and bring such attention of the nearest official immediately; and, 3.. I HEREBY RELEASE AND HOLD HARMLESS the Montreal Manic FA; its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property incident to my child’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 4. I HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. I, the parent/guardian, assert that I have explained to my child/ward: the risks of the activity, his/her responsibilities for adhering to the rules and regulations, and that my child/ward understands this agreement.

COVID-19 RELEASE*

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Agreed