Registration Form | Excel Sports Academy

Excel Sports Academy Registration And Waiver Form

Child's Full Name

Date of Birth

Parent Guardian Name

Phone Number

Address

Postal Code

City

Province

Emergency Contact Number

Are You Registering For Soccer Or Basketball?

Basketball

Soccer

Any Medical Condtions/Allergies That We Should Be Aware Of? Or Any Other Information You'd Like Us To Know.

Signature Or Initials

I declare that the info I’ve provided is accurate & complete

I hereby release, indemnify, and hold harmless the basketball/soccer club, its organizers, coaches, and volunteers from any liability for injuries, accidents, or damages that may occur during club events. [ ] I agree to the terms of the waiver.

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Thanks for submitting!