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Event - Admin Form

Participants First Name *
Participants Last Name *
Date of Birth *
yyyy-mm-dd
Age (at time of registration) *
Street Address *
City *
Postal Code *
Province *
Country
Phone Number *
Email *
Allergies (enter none if there are no allergies) *
Uniform Size *
Subscription Opt-in

Emergency Contact Info

Contact First Name *
Contact Last Name *
Contact Phone Number *
Relationship *

Notes

Notes

*Notes/Additional Information the Coach should be aware of about the participant that would affect their or other registrants ability to participate.

How Did You Hear About Us?

By submitting this registration you acknowledge that you have read this agreement, that you have executed this agreement voluntarily, and that this agreement is to be binding upon yourself, your heirs, executors, administrators and representatives.

If you'd like to review the insurance waiver you are signing, please click here. Additionally, please be advised that SRM Performance has a no refund policy. Please review the policy here before clicking submit.

Event - Admin Form

Participants First Name *
Participants Last Name *
Date of Birth *
yyyy-mm-dd
Age (at time of registration) *
Street Address *
City *
Postal Code *
Province *
Country
Allergies (enter none if there are no allergies) *
Uniform Size

Parent's/Guardian's Info

Parent's/Guardian's First Name *
Parent's/Guardian's Last Name *
Parent's/Guardian's Address *
Street Address *
City *
Postal Code *
Province *
Country
Phone Number *
Email *
Subscription Opt-in

Second Parent's/Guardian's Info

Second Parent's/Guardian's First Name
Second Parent's/Guardian's Last Name
Second Parent's/Guardian's Address
Street Address *
City *
Postal Code *
Province *
Country
Phone Number (if different than above)
Email (if different than above)
Subscription Opt-in

Emergency Contact Info

Contact First Name *
Contact Last Name *
Contact Phone Number *
Relationship *

Soccer Experience

Current Soccer Club *
Years Experience *
Type of Soccer Experience

Notes

Notes

*Notes/Additional Information the Coach should be aware of about the participant that would affect their or other registrants ability to participate.

How Did You Hear About Us?

By submitting this registration you acknowledge that you have read this agreement, that you have executed this agreement voluntarily, and that this agreement is to be binding upon yourself, your heirs, executors, administrators and representatives.

If you'd like to review the insurance waiver you are signing, please click here. Additionally, please be advised that SRM Performance has a no refund policy. Please review the policy here before clicking submit.

Event Form

Participants First Name *
Participants Last Name *
Date of Birth *
yyyy-mm-dd
Age (at time of registration) *
Street Address *
City *
Postal Code *
Province *
Country
Allergies (enter none if there are no allergies) *
Uniform Size

Parent's/Guardian's Info

Parent's/Guardian's First Name *
Parent's/Guardian's Last Name *
Parent's/Guardian's Address *
Street Address *
City *
Postal Code *
Province *
Country
Phone Number *
Email *
Subscription Opt-in

Second Parent's/Guardian's Info

Second Parent's/Guardian's First Name
Second Parent's/Guardian's Last Name
Second Parent's/Guardian's Address
Street Address *
City *
Postal Code *
Province *
Country
Phone Number (if different than above)
Email (if different than above)
Subscription Opt-in

Emergency Contact Info

Contact First Name *
Contact Last Name *
Contact Phone Number *
Relationship *

Soccer Experience

Current Soccer Club *
Years Experience *
Type of Soccer Experience

Notes

Notes

*Notes/Additional Information the Coach should be aware of about the participant that would affect their or other registrants ability to participate.

How Did You Hear About Us?

By submitting this registration you acknowledge that you have read this agreement, that you have executed this agreement voluntarily, and that this agreement is to be binding upon yourself, your heirs, executors, administrators and representatives.

If you'd like to review the insurance waiver you are signing, please click here. Additionally, please be advised that SRM Performance has a no refund policy. Please review the policy here before clicking submit.

Event Form

Participants First Name *
Participants Last Name *
Date of Birth *
yyyy-mm-dd
Age (at time of registration) *
Street Address *
City *
Postal Code *
Province *
Country
Phone Number *
Email *
Allergies (enter none if there are no allergies) *
Uniform Size *
Subscription Opt-in

Emergency Contact Info

Contact First Name *
Contact Last Name *
Contact Phone Number *
Relationship *

Notes

Notes

*Notes/Additional Information the Coach should be aware of about the participant that would affect their or other registrants ability to participate.

How Did You Hear About Us?

By submitting this registration you acknowledge that you have read this agreement, that you have executed this agreement voluntarily, and that this agreement is to be binding upon yourself, your heirs, executors, administrators and representatives.

If you'd like to review the insurance waiver you are signing, please click here. Additionally, please be advised that SRM Performance has a no refund policy. Please review the policy here before clicking submit.