soccer training, camps & clinics

3v3 Fall Freeze Sign-up Form

Please fill out the consent form below completely. You can sign up for as many sports, programs and sessions that you would like. Once you submit this form you will be taken to the order page. Note: An “*” by a field means it is required.

TERMS OF PARTICIPATION

I, the parent/guardian of the registrant, understand and accept the condition that neither In The Net Sports Academy (ITNSA) nor anyone associated with ITNSA will assume any responsibility for accidents and medical or dental expenses incurred as a result of participation in an ITN program.  I certify that the applicant is in good health and able to participate in the physical activity of a vigorous program.  In the event of injury, ITNSA has my permission to obtain medical care.  ITNSA may also use my child’s picture for promotional purposes.

    I have read and agree to the the terms. *

    3v3 Martin Luther King Kup - Futsal: Nashua, Monday, Jan. 18 ($175/Team)

    Team Name *

    Gender *

    MaleFemale

    Age Groups

    U8 Co-Ed

    Girls U10

    Girls U12

    Girls U14

    Girls HS

    Boys U10

    Boys U12

    Boys U14

    Boys HS

    Adult Women

    Adult Men

    Adult Co-Ed

    Coach's Email *

    Coach's First Name *

    Coach's Last Name *

    Coach's Phone *

    Coach's Cell Phone

    Coach's Address *

    Coach's City *

    Coach's State *

    Coach's Zip *

    School/Club Coach Name

    School/Club Coach Email:

    Emergency Contact Name *

    Emergency Contact Phone *

    Comment

    I have read and agree with the terms of participation listed out below:

    I, the parent/guardian of the registrant, understand and accept the condition that neither In The Net Sports Academy LLC nor anyone associated with In The Net Sports Academy LLC will assume any responsibility for accidents and medical or dental expenses incurred as a result of participation in an In The Net Sports Academy program. I certify that the applicant is in good health and able to participate in the physical activity of a vigorous program. In the event of injury, In The Net Sports Academy LLC has my permission to obtain medical care. In The Net Sports Academy LLC may also use my child’s picture for promotional purposes.

    I have read and agree with the photo consent release policy listed out below:

    I, the parent/guardian of the registrant, hereby authorize In The Net Sports Academy LLC to use my child’s photographic image, in whole or in part, for marketing activities and other promotional purposes at the discretion of In The Net Sports Academy LLC and its staff. I understand that the photographs are the property of In The Net Sports Academy LLC.

    I have read and agree with the Release of Liability
    found here

    Please let us know your method of payment *

    Credit CardCheck

    How did you learn about ITNSA? *

    Add to the Mailing List

    Please enter code from image *captcha

    If you intend to pay online click SUBMIT to continue.

    If you intend to pay by check click PRINT above and mail the form in with your check to the address below.

    In The Net Sports Academy
    P.O. Box 1652
    Merrimack, NH 03054

    Cancellation Policy: ITNSA reserves the right to cancel any camp/clinic if enrollment does not support player development. Registrations cancelled prior to camp/clinic start have the option to receive an ITNSA credit toward any future camp/clinic or transfer to a comparable camp/clinic.  Any refunds will be subject to a $25.00 administration fee.

    * If a “player” drops from the class/clinic then the $25.00 admin fee applies.