Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. When registering for an Elite program, please ensure that all information submitted is accurate. ALL Prices shown already include HST and processing fees LayoutPRE-ACADEMY PROGRAMPRE-ACADEMY PROGRAM – $343.02PROGRAM NAMEElite Juniors (Ages 3-5)Pre-Academy (Ages 6-7) :: Thursdays, June 6 to August 13 (12 Weeks) :: 6:00PM to 7:00PM :: Andrew McAndless Park, Brampton ELITE SOCCER SCHOOLELITE SOCCER SCHOOL – $552.32PROGRAM NAMEJunior Soccer School (Ages 8-10)Intermediate Soccer School (Ages 11-14) :: Thursdays, June 6 to September 12 (15 Weeks) :: 6:00PM to 7:00PM :: Andrew McAndless Park, Brampton FULL/TIME ACADEMY TEAMSELITE BOYSELITE GIRLSPROGRAM NAMESelect Age Group BelowElite U8 Boys (Born 2016/2017) – $442.95Elite U9 Boys (Born 2015) – $442.95Elite U10 Boys (Born 2014) – $442.95Elite U11 Boys (Born 2013) – $442.95Elite U12 Boys (Born 2012) – $548.75Elite U13 Boys (Born 2011) – $548.75Elite U14 Boys (Born 2010) – $644.20Elite U15 Boys (Born 2009) – $644.20IMPORTANT INFORMATION All registrations are setup based on a payment plan of 3 equal instalments. The first instalment is charged to your credit card through this registration. The second Instalment will be invoiced on June 1st The third Instalment will be invoiced on July 1stPROGRAM NAMESelect Age Group BelowElite U9 Girls (Born 2015) – $1,328.87Elite U11 Girls (Born 2013/2014) – $1,328.87IMPORTANT INFORMATION All registrations are setup based on a payment plan of 3 equal instalments. The first instalment is charged to your credit card through this registration. The second Instalment will be invoiced on June 1st The third Instalment will be invoiced on July 1st . PARTICIPANT INFORMATION LayoutPARTICIPANT NAME *First / Last NamePARTICIPANT DATE OF BIRTH: *MM-DD-YYYYPARTICIPANT GENDER: *SelectSelectMaleFemalePlease select your child’s genderT-SHIRT SIZE *SELECTSELECTYouth Extra SmallYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult Extra LargeSizing is based on a North American size chart. LEGAL GUARDIAN INFORMATION LayoutLEGAL GUARDIAN NAME *First / Last NameMAIN TELEPHONE No. *000-000-0000EMAIL ADDRESS * . INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT *BY CLICKING THE BOX AND ENTERING MY NAME BELOW, I AM CERTIFYING TO AGREE WITH ALL THE TERMS ABOVE AND WAIVE LEGAL RIGHTSAs 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 AND ENTERING MY NAME BELOW, I AM CERTIFYING TO AGREE WITH ALL THE TERMS ABOVE AND WAIVE LEGAL RIGHTSI 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 clientsVIDEO AND PHOTOGRAPHY LIABILITY AND RELEASE WAIVER * *BY CLICKING THE BOX AND ENTERING MY NAME BELOW, I AM CERTIFYING TO AGREE WITH ALL THE TERMS ABOVE AND WAIVE LEGAL RIGHTSBrampton 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.SIGNATURE *Clear SignatureBy signing here, I am certifying that I have read and agree with all the terms and conditions proposed. . Coupon Apply ORDER SUMMARY Order Summary Item Quantity Total There are no products selected. PROGRAM NAME – Elite Juniors (Ages 3-5)1$343.02PROGRAM NAME – Pre-Academy (Ages 6-7)1$343.02PROGRAM NAME – Junior Soccer School (Ages 8-10)1$552.32PROGRAM NAME – Intermediate Soccer School (Ages 11-14)1$552.32PROGRAM NAME – Elite U8 Boys (Born 2016/2017)1$442.95PROGRAM NAME – Elite U9 Boys (Born 2015)1$442.95PROGRAM NAME – Elite U10 Boys (Born 2014)1$442.95PROGRAM NAME – Elite U11 Boys (Born 2013)1$442.95PROGRAM NAME – Elite U12 Boys (Born 2012)1$548.75PROGRAM NAME – Elite U13 Boys (Born 2011)1$548.75PROGRAM NAME – Elite U14 Boys (Born 2010)1$644.20PROGRAM NAME – Elite U15 Boys (Born 2009)1$644.20PROGRAM NAME – Elite U9 Girls (Born 2015)1$1,328.87PROGRAM NAME – Elite U11 Girls (Born 2013/2014)1$1,328.87SubtotalTotal$0.00 $0.00LayoutPAYMENT *Card NumberExpiration DateSecurity CodeCard Holder Name You are almost done! Please note that all sales are final, and only deemed final once payment is confirmed. Submit