Home
About
Training
CAMPS
Get In Touch
Menu
Home
About
Training
CAMPS
Get In Touch
Home
About
Training
CAMPS
Contact
Sign Up
Parent Info
Parent Name
(Required)
First
Last
Parent Email
(Required)
Parent Phone
(Required)
Player Info
Player's Name
(Required)
First
Last
Player’s Birth Date
(Required)
MM slash DD slash YYYY
Current Club/Playing Experience
(Required)
Preferred Day/Time of the Week
(Required)
Describe your players strengths/weaknesses. What are his/her goals for private training?
(Required)
Emergency Contact
Emergency Contact Person
(Required)
First
Last
Emergency Contact Phone Number
(Required)
Emergency Contact Email
Training Selection
Which training session are you interested in?
Individual Elite Private
Semi-Private (2-3)
Small Group Session (4-6)
Small Group Session (7-8)
Consent
Parent Signature:
(Required)
Consent
(Required)
RELEASE: In case of emergency when I cannot be reached, I authorize the staff of Londoño Soccer to obtain whatever medical treatment deemed necessary for the welfare of my child. I further understand and agree that I will be financially responsible for all charges and fees incurred in the rendering of said emergency treatment, regardless of whether or not my medical insurance would cover such charges and fees. I hereby give my consent to my child's participation in the activities of Londoño Soccer and hereby absolve, release, and hold harmless Londoño Soccer and all of its officers, directors, shareholders, agents, representatives, attorneys, employees, owners, successors, assigns, and other affiliates from any and all liability for any injuries or damages that my child may suffer in connection with the activities sponsored by Londoño Soccer or in which my child may participate.
I agree to the release.
Email
This field is for validation purposes and should be left unchanged.
Menu
