REGISTER FOR A PROGRAM

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Academy Team

Elite Training Centre

Camps & Clinics

Camps And Clinics

4v4 Nations Cup

4v4 Elite Nations Cup

Academy Team Program

When registering for an academy team, it is based on the notion that participants have gone through the tryout process and the coaches have awarded the participant a roster spot.
Academy team programs operate on a full-time basis and part of an extensive platform.
:: Three (3) Training sessions per week, with the exception of transition months within seasons
:: Competitive league play

ACADEMY MEMBER FEE – $806.20

The Academy Membership Fee is part of the academy’s full season structured and looked upon as the non-refundable deposit.
Fee shown consists of HST and processing fees

PARTICIPANT / MEMBER NAME *

SELECT ACTIVITY *

Goalkeeper Clinics

Goalkeeper Clinics

PA Days and Holiday Camps

PA Days and Holiday Camps

MEDICAL INFORMATION (ETC)

Goalkeeper Clinic Details

The goalkeeper clinics are specific to boys and girls between the ages of 8-13 and will focus on a variety of different activities associated with the position. All sessions are capped at 8 goalkeepers per instructor.
1. Catching and distribution fundamentals
2. Agility, footwork and coordination
3. Goalkeeper games

May 11 GK Clinic

May 11 GK Clinic – $110.20

May 25 GK Clinic

May 25 GK Clinic – $110.20

Elite Training Centre (ETC)

The Elite Training Centre is a player centric supplemental skills training platform designed to support players with a more dedicated approach within a small group setting

1. Ball mastery and dribbling techniques
2. Agility, footwork and coordination
3. Passing and receiving
4. 1v1, 2v2 and 3v3 competitions

Summer Session ETC

(ETC) Summer Session – $458.20

Dates: Fridays, June 6 to August 22
Location: SaveMax Centre (Turf Field 2)

Time: 5:30PM – 6:45PM

ORDER SUMMARY

Item Quantity Total

There are no products selected.

ACADEMY MEMBER FEE 1 $806.20

May 11 GK Clinic 1 $110.20

May 25 GK Clinic 1 $110.20

(ETC) Summer Session 1 $458.20

PRE-ACADEMY 1 $276.00

CUP OF NATIONS 1 $150.00

ELITE COMPLETE UNIFORM KIT 1 $539.40

Subtotal

Total $0.00

$0.00

Prices shown are already inclusive of the 13% HST and 3% processing Fee
ALL purchases are final and non-refundable.

REGISTRATION INSTRUCTIONS

ALL purchases are final and non-refundable.

All members are required to purchase a 1 time membership subscription per year/season in addition to the respective program fees. Such subscription provides access to all of our administrative services.

Full-time academy programs are part of a monthly payment structure over and above the academy membership fee.
All other programs such as the Soccer School, Pre-Academy, High Performer Program and Futsal (House Leagu) Programs are one time payments at the time of registration.

Please ensure that ALL information is accurate and up-to-date

PRE-ACADEMY – $276.00

CUP OF NATIONS – $150.00

ACADEMY TEAM MEMBERSHIP FEE

The Academy Membership Fee is specific to the Elite Academy Teams and considered the deposit and first instalment. Payments for the Academy Teams is broken into 9 installments throughout the year.
Payment No 1. = Deposit
Payments 2-9 = Equal Instalments

ELITE CUP OF NATIONS

The Elite Cup of Nations is a small-sided games platform exclusively available to Elite players and is intended to promote extra game play, social engagement and extra game play and all participants must be part of one of our academy programs.

PRE-ACADEMY

The Pre-Academy Program is a seasonal program (Indoor / Outdoor) focusing on skill development for boys and girls between the ages of U3 to U7 whom are taking the first steps in soccer.
Although the program is offered within a wide range of ages, prior to the start of the program, participants are aligned in multiple groups based on the level of maturity and age.

The Winter Term will consist of 10 training sessions and beginning on the 2nd week of January 2025 and concluding on the last week of March.

PARTICIPANT / MEMBER INFORMATION

PARTICIPANT NAME *

EMAIL *

TELEPHONE NUMBER *

ADDRESS *

Address Line 1

City

State / Province / Region

Postal Code

PARTICIPANT NAME *

EMAIL *

TELEPHONE NUMBER *

DATE OF BIRTH *

GENDER *

PROMINENT POSITION

DATE OF BIRTH *

GENDER *

LEGAL GUARDIAN INFORMATION

MOTHER'S NAME *

MOTHER'S NUMBER *

MOTHER'S EMAIL *

FATHER'S NAME

FATHER'S NUMBER

FATHER'S EMAIL

LEGAL GUARDIAN ADDRESS CONFIRMATION

Please click this box to certify the participant’s primary place of residency in relation to the legal guardian(s)

RELEASE OF LIABILITY WAIVERS

INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT

BY CLICKING THE BOX I AM CERTIFYING TO AGREE WITH ALL THE TERMS ABOVE AND WAIVE LEGAL RIGHTS

As a condition of participation in any activity with Brampton Elite Soccer Academy and/or AthELITE Centre, Participants must review the participation waiver and indicate your consent at the end this document. I acknowledge that certain RISKS of INJURY are inherent in participation in sports and recreation activities. These types of risks can include, physical and/or mental stress due to various levels of training intensity or climate changes. It is highly recommended for participants to review the complete participation and release of liability waiver by clicking on the link below.
I acknowledge that there may be RULES and REGULATIONS applicable to the activity I wish to participate in, and that they are designed for enhancement of safety and protection of myself and other participants. I understand such RULES and REGULATIONS EXIST, and I undertake to abide by them.

I acknowledge that all activities require a level of FITNESS and HEALTH (physical, mental and emotional) Once the transaction is processed, one of our team members will be in contact with you for further details.

COMMITMENT OF PARTICIPATION AND RELEASE OF LIABILITY WAIVER

BY CLICKING THE BOX I AM CERTIFYING TO AGREE WITH ALL THE TERMS ABOVE AND WAIVE LEGAL RIGHTS

I understand that this release discharges Brampton Elite Soccer Academy and/or facilities of use from any liability or claim that the child that I have registered above and myself, my heirs, or any personal representatives may have against Brampton Elite Soccer Academy and/or facilities of use with respect to illness, death, medical treatment, or property damage that may arise from, or in connection to any services received from Brampton Elite Soccer Academy and/or facilities of use

This liability waiver and release extends to Brampton Elite Soccer Academy and/or facilities of use together with all owners, partners, employees and clients

VIDEO AND PHOTOGRAPHY USAGE CONSENT

BY CLICKING THE BOX I AM CERTIFYING TO AGREE WITH ALL THE TERMS ABOVE AND WAIVE LEGAL RIGHTS

Brampton Elite Soccer Academy will consistently capture video and photos where participants may or may not knowingly be in.
Such actions are solely intended for the purpose of marketing/education/social media content creation. I hereby grant Brampton Elite Soccer Academy permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.
I understand and agree that all photos will become the property of Brampton Elite Soccer Academy and will not be returned.

I hereby irrevocably authorize Brampton Elite Soccer Academy to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

I hereby hold harmless, release, and forever discharge Brampton Elite Soccer Academy from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

MEDICAL INFORMATION

MEDICAL INFORMATION *

Disclosing medical information is a mandatory action for all participants in order to enroll in any of our programs

By completing the form below, you are agreeing to disclose personal/medical information about your child. Please ensure all information is accurate.
All information collected in this form, will be kept safe and not used for any other purpose other than the associated program

Please ensure that ALL information is accurate and up-to-date

NAME OF EMERGENCY CONTACT *

First

Last

NAME OF FAMILY DOCTOR *

First

Last

TEL. NO. OF EMERGENCY CONTACT

TEL. NO. OF FAMILY DOCTOR

Emergency contact person and/or family doctor will only be contacted if both legal guardians are not available/reachable

MEDICAL CONDITIONS (Check ALL that apply)

Asthma
Inhaler
Allergies – Food or other
Difficulty of Hearing
Diabetes
Taking medication for permanent conditions
Epi-Pen / Allerject
Heart Condition
Epilepsy
Blood Disorders
History of Concussions
Medical Alert Bracelet/Necklace
Prescription Eyewear
Permanent Physical Deficiency
Depression / Mood Disorder
Anxiety
Hospitalized in the last year

AADITIONAL MEDICAL INFORMATION

Please provide details on any checked items from above and/or information about any conditions not included above. Please indicate any and all allergies or medications:

SIGNATURE *

Clear Signature

BY SIGNING MY NAME BELOW, I AM CERTIFYING THAT ALL INFORMATION IS ACCURATE AND I AGREE WITH ALL THE TERMS ABOVE AND WAIVE LEGAL RIGHTS

YOU ARE ALMOST DONE, BUT DONT FORGET TO ORDER THE UNIFORM

All uniform sales are final and subject to customization. As such, once the uniform is ordered, returns, exchanges or refunds are not permitted

ELITE COMPLETE UNIFORM KIT

ELITE COMPLETE UNIFORM KIT – $539.40

The Elite complete kit consists of the following items and quantities:
>> Checkered Jersey (1), Black Jersey (1), Gray Training Jersey (2)
>> Black Shorts (2), Black Track Suit (2), Black Socks (2)
>> BackPack (1)

KIT SIZE

CUSTOMIZATION DETAILS – NEW MEMBER

Customization details are specific to jersey numbers. For NEW MEMBERS, submit 3 options of number in order of preference.

Example: 1, 2, 3

PAYMENT

DISCOUNT CODE

ORDER SUMMARY

Item Quantity Total

There are no products selected.

ACADEMY MEMBER FEE 1 $806.20

May 11 GK Clinic 1 $110.20

May 25 GK Clinic 1 $110.20

(ETC) Summer Session 1 $458.20

PRE-ACADEMY 1 $276.00

CUP OF NATIONS 1 $150.00

ELITE COMPLETE UNIFORM KIT 1 $539.40

Subtotal

Total $0.00

$0.00

Prices shown are already inclusive of the 13% HST and 3% processing Fee

PAYMENT TERMINAL *

Card Number

Expiration Date

Security Code

Card Holder Name

15 Regan Road, Unit 3

Brampton

Ontario

Phone: 416-566-3621

E-mail: office@elitesocceracademy.ca

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