OJSC Winter Training Academy Registration
Thank you for registering for the OJSC Winter Training Academy. Please complete the form below and click the Submit button to begin the registration process. The registration fee is $50 per player and, after the form is submitted, you will be able to make your payment online immediately at PayPal. OJSC is committed to making these opportunities available to your child and we thank you for your participation.

Player Name:

Player's Date of Birth:
Parent Name:
Address:
(Please enter complete address,
including street, city, zip, etc.
Email:
Home Phone:
Work Phone:
Cell Phone:
Emergency Contact Name:
Emergency Contact Phone:
  Does player have any medical problem(s) or physical limitation(s)?
  Yes
No
If yes, please list:

IMPORTANT – By submitting this form, I/We, the parent/guardian of the above named player, a minor, and the above named player agree to the following:
(1) To abide by the rules of Orange Junior Soccer Club, Cal South, their affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for Orange Junior Soccer Club accepting the registrant for its Summer Training Academy (the "Academy"), I hereby release, discharge and/or otherwise indemnify Orange Junior Soccer Club, Cal South, their affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the Academy and/or being transported to or from the same, which transportation I hereby authorize. (2) To hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent. (3) To hereby give my consent to Orange Junior Soccer Club and Cal South to take photographs, video recordings, and/or sound recordings of the above named player in documenting the activities of the Academy. I grant Orange Junior Soccer Club and Cal South permission to use the negatives, prints, motion pictures, video/audio tapings, or any other reproduction of the same for Orange Junior Soccer Club and Cal South educational and promotional purposes in manuals, on flyers, on the World Wide Web, or in other publications.