Genesis FA U5 Grassroots Commitment Form
Please find below the U5 GFA player grassroots commitment form for the 2024 Outdoor Season.
By filling out this form you are committing for the duration of the 2024 Outdoor Season.
If you have any questions feel free to reach out to

They will train on Fridays from May 31, 2024 to August 30, 2024 at Centennial Park Field B from 6:00 to 7:00.

Forms are due May 1, 2024 and full payment is due upon registration.

No Refunds
Sign in to Google to save your progress. Learn more
Player's full name *
Player's date of birth *
Parent/legal guardian's full name *
Parent/legal guardian's cell phone number
Parent/legal guardian's email
By selecting yes I certify that I am the parent/legal guardian of this player *
Second parent/legal guardian's full name
Second parent/legal guardian's cell phone number
Second parent/legal guardian's email
Emergency contact's full name *
Emergency contact's relation to child
Emergency contact's cell phone number
Does your child have any allergies?
If so, what are they?
Please select your child's uniform size *
Please read the Media Release and Liability Agreement.
By selecting "yes" you certify that you have read, understood, and agree to the terms of the agreement.
Payment Options
All payments can be made online with credit card or etransfer to
Payment is due upon registration
$350 (tax included)
By Selecting "yes" you are committing your child to the GFA U5 Grassroots Program *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Genesis Football Academy . Report Abuse