ADVERTISE HERE             ADVERTISE HERE        CONTACT US FOR RATES                          

MERLIN SOCCER ACADEMY 

                  INTERNATIONAL PROFESSIONAL SOCCER TRAINING TEAM TRAINING & PRIVATE LESSONS               


HOME

OUR CALENDER

ACADEMY_INFORMATION

DIRECTOR

COACHES

REGISTRATION

SPONSOR FORM (WE NEED SPONSORS

ACADEMY EDUCATION PROGRAM

TRAINING PROGRAM

PRACTICE_DIRECTIONS

CONTACT_US

 

Merlin Soccer Academy
Application 

 

 

 

Family Information

 

Parent Name

Street Address

Town / City

State

Zip

Home Phone

Daytime Phone

E-Mail

Family Doctor                         Doctor Phone

Player Information

 

Player Name

Age

Gender

Date of Birth

Current Team

Are you Goalkeeper:             Yes          No      

Positions Played

 PARENT / GUARDIAN CONSENT AND WAIVER

I hereby represent that the above information is true and accurate and the named applicant is in good health and has my permission to participate in the Merlin Soccer Academy . I acknowledge that soccer is a contact sport and that there is a risk of injury from participating in the camp and its related activities. I HEREBY WAIVE AND RELEASE Merlin Soccer Academy, Merlin Villagomez and its agents, servants and employees from any and liability and claims for damage. In the event of an emergency I hereby give permission to such Medical personnel as necessary to render treatment.

 

--------------------------------                            ------------------

Parent/Guardian Signature                                      Date

 

A deposit of $145 is required with each application.

Please return application and checks payable to:

Merlin Soccer Academy

1046 Kilsyth Rd 2nd F. Front

Elizabeth , NJ 07208  

 

 

\