Elite One on One Private Sessions Registration
Private Soccer Elite Program
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Email *
Soccer Elite Academy
Player's First Name *
Player's Last Name *
Parent's First Name *
Parent's Last Name *
Phone Number *
Training Capacity? *
Side of the City you live on? *
Choice of day to Train Privately? (Pick 2-3 choices) *
Required
Method of Payment $60/Session? *
Gender *
Date of Birth *
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What do you want to improve the most?
Current Club? *
Current Academy *
What position do you play? *
How did you hear about us: *
Waiver I/we, the parent and/or guardian of the above registered player(s) accept the liability and risk associated with soccer as a contact sport and release the Edmonton Elite Soccer Academy (SEA) and any of its affiliates from any claim, demands, damages, actions or causes of action arising out of or in consequence of any loss, injury or damage to the player incurred while participating in any SEA registered program.In addition, I/we consent to SEA collecting, using and disclosing the above registered player's information with affiliated soccer organizations such as the International Superior Squad (ISS) and Superior Squad Canada for participation on teams. This information can also be used for the production of Team Lists to be shared with parents of that team. SEA PLAYERS: I/we consent to the use of the player's name in the publication of Team Rosters on our website at the beginning of each season. *
Required
Consent is also given for the use of and/or posting of still and action photos or video with/without player identification for the purpose of promoting soccer by Soccer Elite Academy and affiliated organizations and sponsors. I/we accept that SEA will be sending seasonal and Association updates periodically that may be time sensitive. I/we, therefore, acknowledge that it is our responsibility to check the email provided on a regular basis. Medical Information. It is the parent's responsibility to make the coach aware of any medical concerns. Please also report any more serious medical concerns/issues such as - insulin pump, implant or apparatus, etc. directly to SEA Director at director@soccereliteacademy.ca  *
Required
Soccer Elite Academy - Sanctioned under Alberta Soccer Association requires the disclosure of exposure to illness in order to safeguard the health and safety of all participants and limit the further outbreak of COVID-19.  This Declaration of Compliance will be kept safely, and personal information will not be disclosed unless as required by law or with your consent. An individual (or the individual’s parent/guardian, if the individual is younger than 18 years old) who is unable to agree to the terms outlined in this document is not permitted to enter the Organization’s facilities or participate in the Organization’s activities, programs, or services. I, the undersigned being the individual named above and the individual’s parent/guardian (if the individual is younger than 18 years old), hereby acknowledge and agree to the terms outlined in this document:    1) The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization and COVID-19 is extremely contagious. The Organization has put in place preventative measures to reduce the spread of COVID-19 and requires all individuals (or their parent/guardian, when applicable) to adhere to the compliance standards described in this document.    2) The individual has not been diagnosed with COVID-19, OR if the individual was diagnosed with COVID-19, the individual was cleared as noncontagious by provincial or local public health authorities more than 14 days prior to the date this Declaration of Compliance was signed.    3) The individual has not been exposed to a person with a confirmed or suspected case of COVID-19,  OR If the individual was exposed to a person with a confirmed or suspected case of COVID-19, the date of exposure was more than 14 days prior to the date this Declaration of Compliance was signed.    4) The individual is attending or participating voluntarily and understands the risks associated with COVID-19. The individual (or the individual’s parent/guardian, on behalf of the individual (when applicable)) agrees to assume those risks, including but not limited to exposure and being infected.    5) The individual has not, nor has anyone in the individual’s household, experienced any signs or symptoms of COVID-19  in the last 14 days (including fever, new or worsening cough, fatigue, chills and body aches, sore throat, shortness of breach, respiratory illness, vomiting or diarrhea, loss of taste or smell, or difficulty breathing).     6) If the individual experiences, or if anyone in the individual’s household experiences, any cold or flu-like symptoms after submitting this Declaration of Compliance, the individual will immediately isolate and not attend any of the Organization’s facilities, activities, programs or services until at least 14 days have passed since those symptoms were last experienced.      7) The individual has not, nor has any member of the individual’s household, traveled to or had a lay-over in any country outside Canada in the past 14 days. If the individual travels, or if anyone in the individual’s household travels outside Canada after submitting this Declaration of Compliance, the individual will not attend any of the Organization’s facilities, activities, programs or services until at least 14 days have passed since the date of return.      8) The individual is following recommended guidelines, including but not limited to, practicing physical distancing, trying to maintain separation of six feet from others, adhering to recognized hygiene best practices, and otherwise limiting exposure to COVID-19.     9) The individual will follow the safety, physical distancing and hygiene protocols of the Organization.    10) This document will remain in effect until the Organization, per the direction of the provincial government and provincial health officials, determines that the acknowledgements in this Declaration of Compliance are no longer required.     11) The Organization may remove the individual from the facility or from participation in the activities, programs or services of the Organization at any time and for any reason if the Organization believes, in its sole discretion, that the individual is no longer in compliance with any of the compliance standards described in this document. *
Required
I accept that my child athlete will train and play soccer at their own risk, including risks associated with the COVID-19 pandemic. Soccer Elite Academy will not be held liable and/or responsible for any damages, injuries and/or illnesses that occur while in the course of any and all training programs.   *
Required
A copy of your responses will be emailed to the address you provided.
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