Abcsoccer4kids

Parent/Guardian Info

First name

Last name

Phone

Email

Preferred Contact Method

Text

Call

Email

Home City

Relationship to Player

Secondary Parent/Guardian Info

First name

Last name

Secondary Parent/Guardian Phone

Secondary Parent/Guardian Email

Relationship to Player

Player info

Player Full Name

Date of birth

Month

Day

Year

Gender

Male

Female

School

Emergency Contact Phone

T-Shirt Size

I understand that official Jaguar Academy training gear is required during sessions once issued.

Soccer Background + Goals

Has your child played soccer before?

Yes

No

Experience Type

What position(s) do they like?

Midfield

Defense

Goalkeeper

Not sure

What are your top 1–2 goals for your child?

Anything you want Coach Jesse to know about your child’s personality/learning style? (Paragraph)

Placement (Jaguar Pathway)

Which group do you THINK fits best right now?

Cub Jaguar (Discovery)

Young Jaguar (Foundation)

Guardian Jaguar (Development)

Not sure — please assess my child

Quick readiness check (Can your child focus and follow coaching directions in a group setting? 1 = Needs lots of support, 5 = Very coachable )

Notes about placement Any details that help us place them well (confidence, shyness, prior experience, etc.)

Medical + Safety

Any medical conditions we should be aware of ?

Allergies ?

Medications needed during training ?

Any injuries or limitations right now ?

Waivers + Agreements

Photo/Video Permission

I agree to the below statement

ABCSoccer4Kids may use photos/videos of my child who is enrolled in ABCSoccer4Kids for marketing

Liability Acknowledgment

I agree to the below statement

I understand soccer involves physical activity and accept responsibility for participation. Release from injury claims. Release from negligence claims (within reason)

Code of Conduct

I agree to the below statement

I agree to respectful behavior toward coaches, players, and families. Agreement to follow coach instruction.

Concussion / Head Injury Acknowledgment

I agree to the below statement

I understand that soccer involves risk of head injury and agree to remove my child from participation if concussion symptoms are observed.

Payment + Communication Preferences

Program Type (Select all that apply)

Academy Membership

Group Clinics / Camps [Summer and Winter only]

School Enrichment Program [Private School only]

Not sure yet – please contact me

Preferred Payment Method (Multiple choice)

Zelle

Venmo

Cash

Check

Best Time to Contact You Regarding Payment (Multiple choice)

Morning (8:00 AM – 12:00 PM)

Afternoon (12:00 PM – 4:00 PM)

Evening (4:00 PM – 7:00 PM)

Anytime (8:00AM - 7:00 PM)

Payment Notes (Example: preferred payer, split payments, questions about plans, etc.)

Commitment Preference

Month-to-Month

3-Month Commitment

6-Month Commitment

Full Academy Year

How did you hear about ABCSoccer4Kids?

Would you be open to Referral Interest :

Referring friends

Hosting a free trial for classmates

Leaving a testimonial

No thank you

Competitive Team

Yes

No

Let me think about it

During the course students will be selected to participate in our traveling competitive team.

Young Jaguar Registration form