Please enable JavaScript in your browser to complete this form.Advanced Soccer Skills - Registration Thank you for registering for one of our Advanced Soccer Skills. You will NOT be considered registered until you pay in full. If filling out the online registration form, you MUST pay with Credit/Debit Card or PayPal. In enrolling at Apex Sports Zone, participant understands that he/she attending the programs and using Apex Sports Zone and the facilities and equipment does so at his/her own risk. Apex Sports Zone and its owners, employees or agents, shall not be liable for any damage whatsoever arising from any personal injury or property loss sustained by participant with his/her family in or about any programs on the premises. Participants and parents assume full responsibility for all injuries and damages which occur in or about any programs on the premises, She/he does hereby fully and forever release discharged hold harmless Apex Sports Zone, all associated facilities and its owner, employees, and agents from any and all claims, demands, damages or rights of action, present or future resulting from any person’s participation in any programs or use of the facility. In addition, he/she agree(s) to follow the rules of conduct and play set by Apex Sports Zone. Failure to do so may result in suspension from participation. Consent: I the undersigned parent or guardian/participant do hereby grant authority to the staff at Apex Sports Zone to render a judgment concerning medical assistance or hospital care in the event of an accident or illness during my absence. I do hereby authorize Apex Sports Zone and its assigns to utilize any and all photographs, pictures or other likeness of me or anyone assigned guardians hip to me, as they deem appropriate in its promotional materials or team films. I agree to abide by the refund policies of all events and activities. I agree that there are no refunds unless the program is canceled. Choose a Program *Please Choose OneWinter 1 - Nov/Dec (includes fees & taxes) - $ 100.00Winter 2 - Jan/Feb (includes fees & taxes) - $ 100.00Winter 1 & 2 Nov/Dec & Jan/Feb (includes fees & taxes) - $ 171.00Spring - March/April (includes fees & taxes) - $ 100.00Participant First Name *Participant Last Name *Gender *Please Choose OneFemaleMaleDate of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920School *Grade *Please Choose OneK123456789101112Parent Name *FirstLastParent Email *EmailConfirm EmailParent Cell Phone *Comments/Additional NotesPayPal Commerce *PayPal CheckoutCredit CardCard NumberExpiration DateSecurity CodeCard Holder NameSubmit