Training & Kickaround REGISTRATION

Welcome to Juventus Academy Saint Louis!

We would like to take this opportunity to welcome everyone to the Juventus global family! As we continue to expand the Juventus brand into the Midwest, we are excited to know you are interested in learning more about our academy.

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HIGH SCHOOL BOYS ONLY

KICKAROUNDS: Tuesday, 11/30, Thursday, 12/2 and Saturday 12/4:

Olympia: 49 Lawrence Street St. Charles MO 63301
KICKAROUND SESSIONS:
Tuesday and Thursday: 7:00PM - 8:30PM
Saturday: 10:00AM - 11:30AM

TRYOUTS: Wednesday, 12/8 and Thursday, 12/9

Olympia: 49 Lawrence Street St. Charles MO 63301
Wednesday and Thursday: 7:00PM - 8:30PM

ALL PLAYERS / NEW INTERESTED PLAYERS ALL AGES

WINTER TRAINING & ID SESSIONS: MONDAYS AND TUESDAYS (DECEMBER 6, 2021 - JANUARY 11, 2022):

Olympia: 49 Lawrence Street St. Charles MO 63301

AGES (MONDAYS AND TUESDAYS) :

2013 - 2011 5:45PM - 6:45PM
2010 - 2008 6:45PM - 8:00PM
2007 - 2003 8:00PM - 9:15PM

GOALKEEPERS (MONDAYS AND TUESDAYS) :

o 2013 - 2010 6:15PM - 7:15PM

o 2009 - 2003 7:30PM - 8:45PM

NOTES :

NO TRAINING DECEMBER 20, 2021 - JANUARY 2, 2022 for Christmas Break
PLAYERS should wear FLAT shoes and bring their own ball to each training session, and come to check in fully ready for training. In addition, players will need to bring plenty of water.
Registration is only required once. Registration for every session is not required.

PRE REGISTRATION IS REQUESTED/PREFERRED

CHECK IN IS REQUIRED BEFORE FIRST SESSION

- Check in will open 30 minutes prior to the start of each session.

Please do not hesitate to reach out if you have any questions.

Thank you,

Juventus Academy Saint Louis Administrative Group

CONFIRMATIONS

Please check each section below, and initial each item to show your confirmation.

HEALTH CONFIRMATION *

I am aware of the health requirements in place for a player to attend training and confirm that my child has not displayed any symptoms associated with COVID19, including but not limited to, a temperature of 100.4 or higher, a persistent cough, or any indications of not being well and healthy. I am aware of the health requirements in place for a player to attend training and confirm that my child has not displayed any symptoms associated with COVID19, including but not limited to, a temperature of 100.4 or higher, a persistent cough, or any indications of not being well and healthy.

CHANGE in HEALTH CONFIRMATION *

I agree that if my child becomes sick, is exposed to someone who has tested positive for COVID19, or are themselves suspected or confirmed to be positive for COVID19, I will advise Juventus Academy Saint Louis as soon as reasonably possible. I agree that if my child becomes sick, is exposed to someone who has tested positive for COVID19, or are themselves suspected or confirmed to be positive for COVID19, I will advise Juventus Academy Saint Louis as soon as reasonably possible.

ATTENDANCE AGREEMENT *

I agree that if our ability to attend training changes, we will notify Juventus Academy - Saint Louis by texting Kylie Braeseke at 954-482-2497 to allow Juventus Academy Saint Louis to adjust confirmed training slots available. I agree that if our ability to attend training changes, we will notify Juventus Academy - Saint Louis by texting Kylie Braeseke at 954-482-2497 to allow Juventus Academy Saint Louis to adjust confirmed training slots available.

PLAYER INFORMATION

Legal First Name *

Legal Last Name *

Gender *

Male

Female

Birth Year? *

Date of Birth (mm/dd/yyyy) * +

NEW PLAYERS please complete the following:

Prior Club TEAM Name?

Prior Club COACH Name?

Prior TEAM: League

Prior TEAM: Competition Level?

Player's School

Grade 2021-2022 School Year?

HOW DID YOU HEAR ABOUT US?

FOR NON JUVENTUS ACADEMY SAINT LOUIS players ... Please describe your son/daughter as a player? (Positions, Strengths, Weaknesses, etc.)

PARENT INFORMATION

Father's Name

Cell Phone

Father's E-Mail Address

Mother's First Name

Cell Phone

Mother's E-Mail Address

LIABILITY WAIVER & RELEASE AGREEMENT

I the undersigned (if applicant/participant is 18 years of age or older) or parent/guardian of the above listed minor applicant/participant acknowledge that I have been advised of the risks involved in my son’s/daughter’s participation in Juventus Academy - Saint Louis and have been made aware that his/her participation may result in injury or harm to my son/daughter and I assume responsibility for any and all such risk to my son/daughter. In the event that my son/daughter may sustain an injury as a result of their participation, I hereby agree to hold harmless Juventus Academy - Saint Louis, Juventus Football Club, Karidis Group International, LLC, SLYSA Complex, St Charles Soccer Complex (Mueller), Olympia Athletic Centre, LLC, any of it’s directors, officers, coaches, athletic trainers, supervisors, and any other employees or agents there of including those who transport them to/ from tryouts, practices, and games, for any and all such injuries. I hereby give my consent to have an athletic trainer, coach, team manager, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide my son/daughter with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I hereby authorize emergency transportation of my son/daughter to a medical treatment facility should an individual listed previously deem warranted. I affirmatively certify that to the best of my knowledge, my son/daughter is in good mental and physical health and capable of participating in this activity. I have read and fully understand the contents of this “hold harmless” agreement and execute same voluntary. If requested by Juventus Academy - Saint Louis staff, I agree to modify his/her activities as directed. I further give my permission for the free use of the participants name and image in broadcast, telecast, or any other media account of any and all event/activities and for the promotional purposes of Juventus Academy - Saint Louis, Juventus Football Club, Karidis Group International, LLC, SLYSA Complex, St Charles Soccer Complex and Olympia Athletic Centre, LLC.

Liability Waiver & Release Agreement *

I understand and agree to the Liability Waiver & Release Agreement for the remaining training for the 2021 season (including Kickarounds for the 2021-2022 season) for Juventus Academy - Saint Louis.

Electronic Signature (please type first & last name) *

Date (mm/dd/yyyy) * +

Signature *

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