PSi Summer league 2020 at Testlands
Ages U12/U13/U14/U15
Boys and Girls
Girls 7-8 - Sign in and warm up 645 to 7 pm
Boys 8-9- Sign in and warm up 745 to 8 pm
Dates-10 Monday Evenings.
27 April
4, 11, 18 May
1, 8, 15, 22, 29 June
6 July
* Required
Email address
*
Your email
Email Address
*
Very important. Please ENSURE that it is correct. All correspondence will go to this email.
Your answer
Secondary Contact Email address
*
If primary email does not work for some reason.
Your answer
Player's First Name
*
Your answer
Player's Surname
*
Your answer
Date of Birth(please put the year)
*
MM
/
DD
/
YYYY
Age group attending
*
U12
U13
U14
u15
School
*
Your answer
Club
Your answer
Parent (or guardian) Full Name
*
Your answer
Parent (or guardian) Full Name
*
Your answer
Parent (guardian) Mobile Number
*
Your answer
Preferred Playing position
*
Young indoor players will be required to play in all positions. This is merely and indication of preferred playing position. Goalkeepers need to bring their own kits. Please click ONE of the options below only.
GoalKeeper
Defender
Midfielder
Forward
Any
Other:
Player Gender
*
Female
Male
Participant waiver
*
I hereby authorise The Company or its representatives to obtain emergency medical treatment on behalf of my child in the event that, in the opinion of The Company or its representatives, my daughter/son is in need of such treatment. I further agree that I will be responsible for the payment of any and all medical treatment, associated transportation costs or medicines of any nature which may arise in connection with any sickness or accident which may occur during the Event/League and/or Clinic , whether such expense is incurred during or subsequent to the Event/League and/or Clinic , and will indemnify and hold harmless the Event/Camp and/or Clinic and further release the Event/League and/or Clinic , or its representatives for any damages sustained by me in connection with providing of medical treatment. I acknowledge and understand that The Company's Events/Camps and/or Clinics are privately run sports events and have no affiliation or partnerships with the venues and/or facilities at which they are operated. I agree to hold the Event / League and/or Clinic location, venue and/or host, its facilities, management and employees as well as The Company and its business partners, officers, agents, employees, coaches, chaperones and officials harmless from and against any and all claims for injury, costs, liability, damages or loss to person or property which may be sustained or occur while at Events / Leagues and/or Clinics, whether or not they are due to negligence and in consideration I give my consent for my child named on the application to participate in all sport activities at the Event / League and/or Clinic. Also, any damaged caused by my daughter/son to camp or facility property will be her/his responsibility to remedy or reimburse. I hereby acknowledge that there is a risk of injury involved in sports participation. My daughter/son is physically fit and able to participate in strenuous activities and attend this Event / League and/or Clinic.
I, as parent or guardian of the registered player agree to the terms and conditions above.
Required
Payment Method- Southampton PSi Shorts code 23-69-72 ACC No-18141261
*
I will pay £40 on the 27 April
Bank transfer- Southampton PSi Shorts code 23-69-72 ACC No-18141261
First time playing PSI
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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