Consent Form - Youth Development Academy

Player Information

Player's First Name *

Player's Last Name *

Date of Birth *

School *

Medical/Allergies *

Football Experience *

How did you find out about us? *

Other (if applicable)

Parent/Guardian Information

Parent/Guardian Name *

Primary Email *

Primary Phone *

Secondary Email

Secondary Phone

Training Fees Selection

Monthly Training Fees | Age 2-10

R850 p/month – 1 session p/weekR1,300 p/month - 2 sessions p/weekR1,600 p/month - 3 sessions p/week

Annual Membership Options *

Bronze - R700 Once-Off Payment Kit (shirt, shorts, socks)Silver - R900 Once-Off Payment (Valued at R950) Kit + Football (Size-4)Gold - R1200 Once-Off Payment (Valued at R1300) Kit + IQ. Ball (ball on a string)

Terms and Conditions

Conduct:

1. Full IQ Football kit (top, shorts and socks) must be worn to training, and (wherever possible) at holiday clinics.

2. Training will start and finish on time so please ensure the player arrives promptly and arrange for their pick up immediately after the completion of the session.

Enrolment and Payment:

1. All training is charged monthly regardless of attendance, with 11 monthly invoices throughout the year (Dec & Jan combined).

2. Fees are charged monthly in advance, and are due by the 7th of the month.

3. Termination of membership shall be subject to one month's written notice and payment thereof.

Annual Membership Fee:

1. Annual membership is compulsory, and is an annual once-off fee charged separately from your training fees.

2. Termination of membership shall be subject to one month's written notice and payment thereof.

Indemnity:

I, the parent or legal guardian of this participant, hereby give permission for my son/daughter to participate fully in the football coaching sessions or any holiday clinics run by IQ Football. I, the undersigned, hereby agree to hold harmless and indemnify IQ Football and its coaches from any and all liability, personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever, which may be incurred by my son/daughter while they are participating. I have read and agree to the full terms and conditions above. I understand and agree that electronically ticking the box above is the equivalent of a written signature. Note: This form will serve as a Contract as well as indemnity.

I agree to all terms and conditions: Conduct, Payment, Membership, and Indemnity

Optional Extras

Media and Advertising (Optional)

I grant IQ Football the right to use pictures, digital images, and videos of the player for marketing purposes and social media celebration.

I agree to media usage and social media celebration

IQF Tools (Optional Purchases)

IQ. Ball – R600: Improves attention, concentration, technique, perception, coordination and timingIQ. Branded Size 4 Football – R250: Enables home practice to increase ball mastery skills and confidence

Consent Form – Youth Development Academy

⚽ IQ Football Academy Registration