Youth Soccer Clinic - Registration Form

Hosted by People Matter Project

We’re excited to welcome your child to our FREE soccer clinic! (Info about the event) This event is open to children ages 9-13 and will be held on September 21st from 2:30-4:30pm at Ottawa Christian School 255 Tartan Drive. Please complete this form to secure your spot. Space is limited.

Parent/Guardian Info

First Name

Last Name

Phone *

Email *

Child's Info

Child's First Name

Child's Last name

Date of birth

Emergency Contact Name

Emergency Contact Phone Number

Any Relevant Medical Information We Should Be Aware Of?

By checking this box, I give permission for my child to be photographed and/or recorded during the event for promotional purposes by Ottawa Blizzards Soccer.

I have read and agree to the Liability Waiver & Terms for participation.