Carlos Indoor Soccer Training Fall 2013 @ West Navarre Intermediate School Cafeteria

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Please fill out the following information in order to reserve a slot in Coach Carlos Training for Summer Session 2013

Why Futsal? http://www.futsal.com

Please note: Preregistering a player for either training session requires Full payment by 1 wk prior to event, and if its not full we can continue registration until day of 1st session. Training fee minus $20 will be returned if cancelled later than 3 days prior to start of event.

Waiting list will be maintained in the event the session is full in a particular age group.

Reservations for sessions will be based on the following conditions and are listed in order of priority: 1) Receipt of Full Payment for Training 2) Time Stamp on On-line Reservation 3) Time stamp on waiting list

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Carlos Indoor Training at the West Navarre Intermediate School Cafeteria

Mon- Starting Nov 11th 2013 - Ending Dec. 16th

#1 6:30-7:30 pm (Ages U12-U13) Mon
#2 7:30 - 8:30 pm (Ages U14-and above) Mon

Wed - Starting Nov 13th 2013 - Ending Dec. 18th

#3 6:30-7:30 pm (Ages U12-U13) Wed.
#4 7:30 - 8:30 pm (Ages U14-and above) Wed.

Both Days Monday Nov 11 - Dec 18th

#5 6:30-7:30 pm (Ages U12-U13) Mon. & Wed.
#6 7:30 - 8:30 pm (Ages U14-and above) Mon. & Wed.

Cost will be $95 for 6 (1 hour min.) sessions. We will be offering a family discount on subsequent family members that register for the complete summer session. $10.00 discount for each addition family member registered. (Discount only applies to full registrations) $10.00 Discount for signing up for both Monday and Tuesday training sessions.

Make Checks Payable to: ===> BDFC

Please write Name of Player(s) on Subject Line of the check

Mail Checks to : BDFC
PO Box 363
Gulf Breeze, FL 32562

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Athletic Activities can result in injury. Coach Carlos or BDFC are not responsible for liabilities resulting from player injuries during Soccer training activities. Photographs or Video of training session will be taken for use in marketing materials for BDFC Soccer.

Terms of Service: https://docs.google.com/document/d/1x2-BBbnxYXCq5M3_MSxaa3DL45cyqQRcIPluid3op4I/edit

I hereby release my son/daughter to play a sporting activity with Coach Carlos:? *

I agree with the BDFC Soccer Terms of Service Agreement

YES

First name of Player? *

Last name of Player? *

Age of Player? *

First Name of Parent/Guardian? *

Last Name of Parent/Guardian? *

Email Address? *

Phone number for contact? *

XXX-XXX-XXXX format please

Street Address? *

City: *

State: *

ZIP CODE: *

What session are you reserving? *

Coach Carlos will review and change selection based on the overall skill level of the player. (if required)

#1 6:30-7:30 pm (Ages U10-U12) Mon Nov 11th 2013 - Ending Dec. 16th

#2 7:30 - 8:30 pm (Ages U13-and above) Mon Nov 11th 2013 - Ending Dec. 16th

#3 6:30-7:30 pm (Ages U10-U12) Wed. Nov 13th 2013 - Ending Dec. 18th

#4 7:30 - 8:30 pm (Ages U13-and above) Wed. Nov 13th 2013 - Ending Dec. 18th

#5 6:30-7:30 pm (Ages U10-U12) Mon & Wed. BOTH

#6 7:30 - 8:30 pm (Ages U13-and above) Mon & Wed. BOTH

Please enter your check number or PAYPAL confirmation number here: *

Please enter the payment amount here: *

Please: Checks are written to BDFC Subject line: players name

Allergies or Medical Conditions:

Insurance Information:

Carrier and Policy Number

Comments or Questions:

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