【Entry Form】Aalthara FC Yokohama

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Email Address

Email *

Player's Name *

Player's Name　(カタカナ） *

Grade (Japanese grade) *

E.g.：小学1年生: 1st grade、中学1年生: 7th grade

Date of birth (Player's) *

YYYY

School's Name *

e.g.) OO小学校、XX中学校

Does your kid belong to a football team? *

Yes

Team Name

If Yes above.

Parents Name *

Telephone Number

Mobile Phone Number *

Postal Code *

e.g.） 226-0016

Address *

e.g.）神奈川県横浜市緑区霧が丘xxxx

Nearest Station from your house *

Starting Month *

Course *

Please select 1 training course from below

Kids Training: 6,600 JPY per Month (tax included) 1 session per week, 3 sessions per month, 2 hours for 1 session

Kids Training: 7,700 JPY per Month (tax included) 1 session per week. 4 sessions per month, 2 hours for 1 session

Kids Training: 5,500 JPY per Month (tax included) 1 session per week. 4 sessions per month,1 hour for 1 session.

Kids Training: 3,300 JPY per Month (tax included) 1 session per week. 3 sessions per month, 2 hours for 1 session.

2nd kids registration: Is this your 2nd kids registration? *

If this registration is for your 2nd kids, please select "Yes" below so that you can receive the 30% discount.
※30% discount is not valid for 2nd kids of 7 and under 7 years old

Yes

Aalthara FC Official LINE Account Registration *

Click https://lin.ee/paiXDR6 to add the LINE account as your friend and send the message "LINE Registration Completed"

Official LINE Account Registration Completed and send the message (Full name of parent and kid)

【Agreement Form】

①I will not do any claim for damages for any property loss, trouble which was happed in this school / club.
貴クラブにおいての｢盗難｣「障害」等の事故が万一発生した場合、貴クラブ（コーチその他関係者を含む）の故意または重大な過失に基づく場合を除き、貴クラブに対し何ら損害賠償請求を致しません。

② I agree to publish any media e.g. training video during the class for promotional advertising purpose in this school/club.
普段の活動中に貴クラブによって撮影された画像や映像などを貴クラブの宣伝広告活動に使用することに同意します。

③ I hereby certify that the provided in this form are true and correct to the best of my knowledge.
提出書類・データに記載した事実に相違ありません。

④ I agree with the Aalthara FC Regulations below.

https://docs.google.com/spreadsheets/d/e/2PACX-1vT6N62M0X4HhGSZhtcuRCaOPI9reOLSHVo0oQD8CePv3vdWzb3UXEqWXskFOdy7yWtJJCr23XmBa0Aq/pubhtml?gid=0&single=true

Agreement *

Agreed

Disagreed

Other:

Would you kindly support for booking a court for AFA football school? *

In order to book a court for kids to play football every week, we would like parents to support us registering court booking system. If you can support us, please select Yes below, if not, please select No below.

Yes

I would like to know more detail.

【Payment of Membership Fee】

Please select the payment method and complete the payment procedure.

Payment Method *

Credit Card/Debit Card

Bank Transfer（Bank transfer fee will be paid at customer's expense. Customer's understanding is appreciated.）

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