Academy Registration
Email address *
Player's First Name
Your answer
Player's Last Name *
Your answer
Birth Year *
Player's t-shirt size *
Email *
Your answer
Address *
Your answer
Phone number
Your answer
Parent/Guardian name (first and last)
Your answer
Phone Number
Your answer
We are looking for volunteers to help with this program. If you are interested, please indicate below. Parent meeting date and time TBD.
Academy will begin April 1, 2019 with games on Saturday mornings at Ridge Rd Soccer fields (more details to come). Training will be Monday and Wednesday evenings. See Academy Webpage for details.
I understand that soccer is a contact sport and, on behalf of my minor child, I assume all risks medical or otherwise arising from participation even if resulting from the negligence of others. *
Required
On behalf of my minor child, I agree to hold harmless West Virginia Futbol Club, its sponsors, coaches, agents, employees, players or participants (releasees) from any liability or responsibility with respect to any and all injury including death and disability, or loss or damage to person or property, whether arising from the negligence of the releasees or otherwise. *
Required
I hereby consent to the use of quotes, photographs and videos of my child. I also grant the right to edit, use and reuse said products, including use in print, on the Internet, and all other forms of media. I also hereby release West Virginia Futbol Club and its agents, volunteers, coaches from all claims, demands, and liabilities whatsoever in connection with the above. *
Required
If I observe any unusual or significant hazard during my child's presence or participation, I will remove my child from participation and bring such to the attention of the nearest official. *
Required
Allergies/Medical Conditions/Special Needs
Your answer
There is no fee for the academy. Would you consider making a donation? WVFC is a non profit organization that strives to bring soccer to our community at a low cost. Donations can be made by cash, check or via Paypal. Checks can be mailed to WVFC, PO Box 1536, Martinsburg, WV 25402.
A copy of your responses will be emailed to the address you provided.
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