Genesis FA U4 Grassroots Commitment Form
Please find below the U4 GFA player grassroots commitment form for the 2024 Outdoor Season.
By filling out this form you are committing for the duration of the 2024 Outdoor Season.
If you have any questions feel free to reach out to sjackman@gfasoccer.com

They will train on Fridays from May 31, 2024 to August 30, 2024 at Centennial Park Field B from 6:00 to 7:00.

Forms are due May 1, 2024 and full payment is due upon registration.

No Refunds
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Player's full name *
Player's date of birth *
MM
/
DD
/
YYYY
Parent/legal guardian's full name *
Parent/legal guardian's cell phone number
 *
Parent/legal guardian's email
 *
By selecting yes I certify that I am the parent/legal guardian of this player *
Required
Second parent/legal guardian's full name
Second parent/legal guardian's cell phone number
Second parent/legal guardian's email
Emergency contact's full name *
Emergency contact's relation to child
 *
Emergency contact's cell phone number
 *
Does your child have any allergies?
If so, what are they?
Please select your child's uniform size *
Please read the Media Release and Liability Agreement.
By selecting "yes" you certify that you have read, understood, and agree to the terms of the agreement.
 *
Payment Options
All payments can be made online with credit card or etransfer to stevejackman16@hotmail.com
Payment is due upon registration
$350 (tax included)
 *
By Selecting "yes" you are committing your child to the GFA U4 Grassroots Program *
Submit
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