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Registration form
*
Mandatory fields
Player's first name:
*
Player's last name:
*
Sex:
M
F
Language(s) spoken:
English
French
Bilingual
Date of birth:
*
(yyyy/mm/dd)
Last level played:
Allergies:
Medicare card number:
*
Parent's first name:
*
Parent's last name:
*
Phone (home):
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Phone (emergency):
*
Phone (work):
Phone (others):
Address:
*
City:
*
Postal code:
*
E-mail:
*
Clinic I wish to attend:
Saputo Stadium: Montreal Impact's Réno-Dépôt Summer Camps
(Week 1 - June 28 to July 2, 9 am to noon)
(Week 2 - July 12 to July 16, 9 am to noon)
(Week 3 - August 9 to August 13, 9 am to noon)
10-Week Intensive Clinics: Saputo Stadium (training field)
(Group 1 : Players U6 to U9, boys and girls)
(Group 2 : Players U10 to U14, boys and girls)
(Group 3 - Goalkeepers U7 to U11, boys and girls)
Payment:
Cheque (by mail, made out to Montreal Impact)
Payment on first day of clinic
Credit card (a representative will contact you by phone to confirm)
Waiver Form
This is to certify that my son/daughter has permission to participate in the Montreal Impact’s First Touch Soccer Clinics. I am fully aware that he/she will be training and that there are inherent risks of accidents for which I will not hold the Montreal Impact and/or First Touch Soccer and//or the instructors responsible.
I accept
Montreal Impact soccer clinics
4750 Sherbrooke Est
Montreal, Quebec
H1V 3S8
T. (514) 328-3668
F. (514) 328-1287
