GRASSROOTS SESSIONS - May 1st - July 27th

U4 - U7 - 2 x week - Cost $250

Wednesday's 5:30pm - 6:30pm

Saturday's 9:00am - 10:00am

Keheewin Sports Fields

19 Ave NW, Edmonton, T6J 6W9 (Behind Yellowbird Hall)

NOTE* If a session is canceled due to weather, that session will not be rescheduled.

Player Information

Player Age Group (year born): *

U4 (2019/2020)

U5 (2018/2019)

U6 (2017/2018)

U7 (2016/2017)

First Name: *

Last Name: *

Gender *

Allergies/medical concerns (optional):

Parent/Guardian Contact Information

First Name: *

Last Name: *

Street Address: *

City: *

Zip Code: *

Phone Number: *

Email Address: *

Parent/Guardian Consent

I consent to ..... *

clear

Parent/Guardian Disclaimers

Disclaimer 1: In consideration of acceptance of this registration, I, for myself, my child and anyone claiming for my child or myself (collectively "we") hereby waive all claims we may have at any time against the Southwest Zone of the Edmonton Minor Soccer Association (SWEMSA), SW Sting FC, EMSA, and ASA (the soccer organizations), or any other director or officer or member of any of them, soccer coordinators, coaches, refererees, or other persons assisting in the soccer organization's soccer programs, and I indemnify the soccer organizations and individuals for any such claims made against them on behalf of my child or anyone. *

I agree

Disclaimer 2: I hereby, also, consent to the disclosure of information provided herein to officials of SW Sting FC and SWEMSA (SW Sting FC is part of SWEMSA) the use of photographs/videos taken of my child that may be used for promotional purposes on the SW Sting FC and SWEMSA websites and SW Sting FC social media pages. *

I agree

I do NOT agree

Registration Fee

Registration fee: *