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Contact information

Please fill out the form below and proceed to payment to complete the player registration process. Registration is not complete until payment is made.

Player Name *

Date of Birth

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Phone Number *

Gender *

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Parent / Guardian Consent & Waiver *

In enrolling with Fox Soccer Academy, I undertsand that attending the programs and using Fox Soccer Cademy and its facilities are ddoing so at his/her own risk. FSA shall not be liable for any damage whatsoever arising from injury or property loss sustained while on the premises or during the services rendered by an FSA associate. He/she fully release FSA, all associated facilities, employees, and agents from any and all claims. I, undersigned Parent/Guardian, grant authority to the staff at FSA to render a judgement concerning medical assistance and care in the event of accident or illness.

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