Player Registration

2020/21 Columbus Futsal Academy

Option:  

Required  Price: 
Description: 
 = Required Field

 Player Information

 
 
 
 
RadDatePicker
RadDatePicker
Open the calendar popup.
  AGE GROUP ('20-'21) 
Do you have a passport? 
 
 
 
 
 
 School ('20-'21): 
 Grade ('20-'21): 
 Emergency Contact 
 Emergency # 
 Photo: 

 Note: Photo should be in portrait format and of type JPEG with a file extension of .jpg.
It will be scaled to 240 wide x 360 high (pixels).

Click here for more information.


 Approvals

I, the parent/guardian of the above named Registrant, in consideration for accepting the Registrant for their Futsal programs and activities (collectively the “Programs”) hereby grants to US Youth Futsal and its member clubs and organizations, the right and permission, free from approval, review or cost, to photograph, record or otherwise capture the Registrants 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

12-12.

I understand that once accepted to a team, in addition to the tournament fees, each player must register with United States Youth Futsal (USYF).  The $13.50 per player fee and player releases are completed and paid online by the player/parent/guardian (P/P/G).  Players will not be eligible to participate unless payment is received and released authorized.  Outdoor player registrations issued from US Club, AYSO, USYSA, State Associations. etc. are not valid for registration with USYF.

Once the event begins, there are no refunds of the USYF Player Registration fee.

Player registration forms will be automatically sent to the P/P/G when the manager enters players into the rosters.

7/11/19

I, the parent/guardian of the above named Registrant, in consideration of accepting the Registrant for their Futsal programs and activities (collectively the “Programs”) and recognizing the risk of potentially significant physical injury occurring by participation in the Programs, including permanent disability or death, for myself and Registrant, do knowingly and freely assume all such risks, both known and unknown, and assume full responsibility for the Registrants participation in the Programs. Further, I, for myself and Registrant, and on behalf of our respective heirs, assigns, personal representatives and next of kin, do hereby release, indemnify and hold harmless United States Youth Futsal , its affiliated organizations and sponsors, and each of their employees, volunteers, agents, other participants, hosts, sponsors, advertisers, and the owners of the premises upon which the Programs are held (collectively, the "Releases"), with respect to any and all injury, disability, death, or loss or damage to person or property incident to Registrants participation in the Programs, and/or being transported to or from the same, which transportation I hereby authorize, and whether arising from the negligence of the Releases or otherwise, to the fullest extent permitted by law. I hereby warrant and represent that the Registrant has received a physical examination by a physician and has been found physically capable of participating in the Programs with no reservations or restrictions. I, for myself and Registrant, do hereby consent to have a doctor of medicine or dentistry, a licensed nurse or emergency technician provide Registrant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY
10/12

Players and families are to give serious consideration when trying out, accepting offers and committing to the program while thoroughly understanding the time commitment and costs associated with local, regional and national travel. When a team is formed and a player accepts their team offer, the player is making a commitment for the entire academy year or season. If after the team is formed and players are showing a lack of commitment it puts the remaining players at a disadvantage. In some cases the team may fall short of the required amount of players to remain registered with these events or the academy program.

Therefore, based on these factors our refund policies are as follows: 

  • Deposits secure your participation in our programming and are non-refundable.
  • For players who withdraw from a team voluntarily after the deposit has been paid - no refund is given nor are subsequent monthly payments canceled.
  • For players who withdraw due to injury (and can produce verification from a doctor) or family relocation - refunds are available and any refund or monthly fee adjustment will be pro-rated and/or adjusted accordingly.

I have read, understand and acknowledge the Sudden Cardiac Arrest & Lindsey's Law Parent/Athlete form.

I have read, understand and acknowledge the Infectious Disease waiver.

I have read, understand and agree to comply with the Columbus Futsal CODE OF CONDUCT.

I have read, understand and acknowledge Ohio's Youth Concussion RTP Law.

 Approval Signature   

 CONTACT INFORMATION

GUARDIAN #1

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

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

 Refund Policy

Players and families are to give serious consideration when trying out, accepting team offers and committing to the team. When registering, the player is making a commitment that is expected to last for the entire academy season.

Therefore, based on these factors our refund policies are as follows: 

  • Deposits are required to secure your placement. Deposits are non-refundable.
  • For players who withdraw from a team voluntarily after the deposit has been paid - no refund is given nor are subsequent monthly payments canceled.
  • For players who withdraw due to injury (and can produce verification from a doctor) or family relocation - refunds are available and any refund or monthly fee adjustment will be pro-rated and/or adjusted accordingly.

 Contact Info