Individual Player Registration

Fall 19, Fairfield Mini Kickers, Saturday

Option:  

Required  Price: $159.00
Description: Mini Kicker Classes 9.45am - 10.30am Class
 = Required Field

 

 
 
 
 
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  AGE GROUP ('19-'20) 
 


 Approvals

In consideration of being allowed to participate in any way at a CT Sports Network LLC sports program and related events and activities, the undersigned: 
1: Agree that prior to participating, they each will inspect the facilities and equipment to be used, and if they believe anything is unsafe, they will immediately advise their coach or supervisor of such condition(s) and refuse to participate; 
2: Acknowledge and fully understand that each participant will be engaging in activities that involve risks of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time; 
3: Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death; 
4: Release, waive, discharge and covenant not to sue CT Sports Network LLC, their respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as “releasees”, from demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise. The undersigned have read the above waiver and release, understand that they have given up substantial rights by signing it and sign in voluntarily.

I, the parent/guardian of the above named Registrant, in consideration for accepting the Registrant for their sports programs and activities (collectively the “Programs”) hereby grants to CT Sports Network LLC the right and permission, free from approval, review, or cost, to photograph, record, or otherwise capture the Registrant's likeness in participating in the programs for use in media, now or hereafter known, including, but not limited to pictures and video, to copyright the same in its own name, and which may be included in whole or in part for commercial or promotional use.


 CONTACT INFORMATION

GUARDIAN #1

 
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 1 of the 3 phone numbers below must be filled in
 HOME 
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 PREFERENCE 
GUARDIAN #2 (optional)

 
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 

 Refund Policy

Thank you for registering with CT Sports Network.  Refunds will only be given if a request is made two weeks before the first scheduled clinic, or if there is a medical issue that prevents you from playing (a doctor's note is required before the refund will be granted). No refunds shall be issued from two weeks before the clinic starts.

There is a 15% administration charge for all refunds given.

 Contact Info