Free Trial Session PLAYER'S INFORMATION Player's Name * First Name Last Name Date of Birth * MM DD YYYY Player's Experience * no experience less than 1-year of playing experience more that 1-year of playing experience For player's with experience, what leagues and tournaments have you participated in? Preferred Trial Date * Monday & Thursday 5pm to 7pm, East Asia Institute MM DD YYYY PARENT'S INFORMATION / EMERGENCY CONTACT Parent's Name * First Name Last Name Relationship to Player * Parent's Email * Parent's Phone * (###) ### #### How did you hear about us? * Social Media (Facebook, Instagram etc) Search Engine (Google, Yahoo etc) Friend or Family Recommendation Expat Living Editorial Others WAIVER: DISCLAIMER, RELEASE & DISCHARGE As the parent or legal guardian of the named participant, I acknowledge and agree to the following terms in consideration of Gaulois Academy enrolling my child in its activities: Gaulois Academy operates as a non-profit organization, led by staff and volunteers dedicated to nurturing a love for football among children. Gaulois Academy will not be held liable for any damages, losses, or injuries the participant may sustain. I confirm that the participant is physically fit to engage in football training and matches. I accept all risks involved and will not hold Gaulois Academy, its staff, committee members, volunteers, and/or coaches responsible. The participant agrees to follow all rules and instructions given by the coaches or volunteers during activities. Recognising that football involves physical contact, I understand and accept that Gaulois Academy, its coaches, committee members and volunteers are not liable for any injuries incurred during participation. I release Gaulois Academy, its volunteers, committee members and coaches from any liability regarding property damage, loss, injuries, or death, whether or not resulting from negligence or recklessness on their part, occurring during ordinary activities. I consent to the use and sharing of my personal information by Gaulois Academy for the purposes of managing and organizing events and activities, addressing inquiries, and obtaining feedback. I agree to be contacted via email and phone. I grant permission for Gaulois Academy to capture photos and videos of the participant during training sessions and events for use on the academy’s website, social media, and other promotional materials. I AGREE * By checking this box, you agree that you have read and understood the above. Thank you!