player name: birth year: age group · 2019-06-20 · the car on the way to each match. however, the...

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2019 SP Soccer Academy Registration CHECKLIST BRING THIS WORKSHEET TO REGISTRATION PLAYER NAME: ___________________________BIRTH YEAR: _____________AGE GROUP____________ DATE AND TIME Age Group Date Time 2005 (U15) 2004 (U16) 2003 (U17) 2002-2001 (U18-U19) LOCATION PAYMENT INFORMATION Credit Cards: Please pay by credit card on the website – www.spsocceracademy.com The Payment Plan is available only through the website by credit card. Cash or Check: Pay by cash or check at registration. Please register online and select “Pay by Check” then finalize the checkout process. Bring a check made out to “SP Soccer Academy” or cash to registration. If payment is not received or arranged on registration day, we cannot guarantee the position offered to the player. It is important we confirm every player’s spot on registration day to confirm rosters. REGISTRATION CHECKLIST Notes Received (Office Use) 1. Birth Certificate NEW MEMBERS ONLY 2. US Club Membership Form 3. USYSA Membership Form 4. Concussion Information Sheet 5. Lindsey’s Law Form 6. Player Expectations/Commitment 7. Parents Expectation 8. Tuition Rates/Payment Plan/Club Policies Form 9. Uniform Order Tuition Payment Method Check / Cash / CC - Online - Registration event CC last 4 digits CHK# Uniform Order Form Total amount paid Uniform Payment Check / Cash / CC CC last 4 digits CHK# SP Soccer Academy 5605 Westerville Rd, Westerville, Ohio 43081

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Page 1: PLAYER NAME: BIRTH YEAR: AGE GROUP · 2019-06-20 · the car on the way to each match. However, the result is kids often arrive far off their optimal mental state, dreading the critique

2019 SP Soccer Academy Registration CHECKLIST

BRING THIS WORKSHEET TO REGISTRATION

PLAYER NAME: ___________________________BIRTH YEAR: _____________AGE GROUP____________

DATE AND TIME Age Group Date Time 2005 (U15)2004 (U16)2003 (U17)2002-2001 (U18-U19)

LOCATION

PAYMENT INFORMATION • Credit Cards: Please pay by credit card on the website – www.spsocceracademy.com• The Payment Plan is available only through the website by credit card.• Cash or Check: Pay by cash or check at registration. Please register online and select “Pay by Check” thenfinalize the checkout process. Bring a check made out to “SP Soccer Academy” or cash to registration.• If payment is not received or arranged on registration day, we cannot guarantee the position offered to theplayer. It is important we confirm every player’s spot on registration day to confirm rosters.

REGISTRATION CHECKLIST Notes Received (Office Use)

1. Birth Certificate NEW MEMBERS ONLY

2. US Club Membership Form

3. USYSA Membership Form4. Concussion Information Sheet5. Lindsey’s Law Form6. Player Expectations/Commitment7. Parents Expectation8. Tuition Rates/Payment Plan/Club Policies Form9. Uniform Order

Tuition Payment Method Check / Cash / CC - Online- Registration event

CC last 4 digits CHK#

Uniform Order Form Total amount paid

Uniform Payment Check / Cash / CC CC last 4 digits CHK#

SP Soccer Academy 5605 Westerville Rd, Westerville, Ohio 43081

Page 2: PLAYER NAME: BIRTH YEAR: AGE GROUP · 2019-06-20 · the car on the way to each match. However, the result is kids often arrive far off their optimal mental state, dreading the critique

YOUTH PLAYER REGISTRATION FORM

Form #R002-Y – 5/2012

This form must be retained by the club for at least five (5) years or until the player’s 18th birthday, whichever occurs last.

State:

League Name:

I hereby consent to the above-named club registering me with US Club Soccer. I understand that I may be registered to only one US Club Soccer member club at any time. [Note: it will not be necessary to complete this form again as long as the player is with this club, which will hold this form unless requested by US Club Soccer.]

___________________________________ _____________ ________________________________ _____________ Player’s Signature Date Parent/Guardian Signature Date

PLAYER’S MEDICAL INFORMATION

Player’s Name: Birth Date: Gender: Female Male

Street Address: City:

State: Zip : Email Address:

Parent Name: Home Phone: Bus Phone:

Email Address: Cell Phone: Receive texts? Yes No

Parent Name: Home Phone: Bus Phone:

Email Address: Cell Phone: Receive texts? Yes No

In an emergency when parent/guardian cannot be reached, please contact the following: Name: Phone 1: Phone 2:

Name: Phone 1: Phone 2:

Please list player allergies:

Please list other medical conditions:

Physician: Phone 1: Phone 2:

Medical/Hospital Insurance Company: Phone:

Policy Holder’s Name: Policy Number:

MEDICAL TREATMENT AUTHORIZATION AND LIABILITY WAIVER 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 the applicant/participant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I understand treatment for injury will be based on information provided herein. I hereby authorize emergency transportation of the applicant/participant to a medical treatment facility should an individual listed above consider it to be warranted. I recognize the possibility of physical injury associated with soccer, and hereby release, discharge, and otherwise indemnify the club, US Club Soccer, their sponsors, the USSF and its affiliated organizations, and the employees and associated personnel of these organizations, against any claim by or on behalf of the soccer player named above as a result of that player’s participation in US Club Soccer programs and/or being transported to or from the same, which transportation I hereby authorize.

Signature: _______________________________________ Date: _________________ Relation to player: Father Mother Guardian

Club Name: SPORTING PADULA SOCCER ACADEMY City: WESTERVILLE OH

* *

*

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II I US YOUTH MEMBERSHIP FORM I osiaorH SOCCER�

OHIO SOUTH YOUTH SOCCER ASSOCIATION, INC. - PLAYERS United States

Youth Soccer Association

Member of the United States

Male = M Coach's FOR LEAGUE USE ONLY Soccer Federation (USSF)

Female = F License Level TRANSFER NEW RE-REGISTRATION CHANGE/CORRECTION Affiliated with the Federation

ID# [ ] Internationale de Football

[ ] [ ] [ ] [ ] [ ] [ ] Association (FIFA)

This section must be completed by the team coach

League Name

Age _______________________________ Group __ _

Club/Team

Name

(USE CODE

ONLY)> 2B

Last

Name

Address

Region

State

OHS

State District League

I Zip Code Area Code

I

Club Team Recreational = R Competitive = C

First

Name

.___ ______ ___.I lnit. LJ

City

Birth Date

Telephone Number Mo. Day Year

SPECIAL NOTE TO ALL PLAYERS THAT PLAYED HIGH SCHOOL SOCCER LAST FALL

OHIO HIGH SCHOOL ATHLETIC ASSOCIATION RULES LIMIT OSYSA TEAMS TO NO MORE THAN FIVE (5)

WHO PLAYED HIGH SCHOOL SOCCER AT THE SAME HIGH SCHOOL LAST FALL

(VARSITY, JV, FRESHMAN) FROM BEING ON THE SAME OSYSA TEAM PRIOR TO JUNE 1.

Father's Name ______________ Occupation ________ Bus. Phone�: _____ _

Mothers's Name _____________ Occupation _________ Bus. Phone _____ _

List any medical problems or prohibition player has _________________________ _

Person to notify in emergency ____________________ Telephone ______ _

CONSENT FOR MEDICAL TREATMENT (MINOR)

As the parent or legal guardian of the above-named player, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Denistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent.

Signature of the ParenVGuardian

X

Address

City ____________ State _______ Zip

Phone: Home Bus. _______ _

I, the parenVguardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the USYS, its affiliated organizations and sponsors. Recognizing the possibility of physical injury association with soccer and in consideration for the USYS accepting the registrant for its soccer programs and activities(the Programs),! hereby release, discharge, and/or otherwise indemnify the USYS, its affilated organizations and facilities used for the Programs.against any claim by or on behalf of the registrant as a result of the registrant's participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize.

Name __________________ _

Signature X ____________ Date __ _

I have received the Ohio Department of Health Concussion Information Sheet for Youth Sports

Signature of Parent I Guardian: Date:

SPORTING PADULA SOCCER ACADEMY

**

*

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*

*

Page 7: PLAYER NAME: BIRTH YEAR: AGE GROUP · 2019-06-20 · the car on the way to each match. However, the result is kids often arrive far off their optimal mental state, dreading the critique
Page 8: PLAYER NAME: BIRTH YEAR: AGE GROUP · 2019-06-20 · the car on the way to each match. However, the result is kids often arrive far off their optimal mental state, dreading the critique
Page 9: PLAYER NAME: BIRTH YEAR: AGE GROUP · 2019-06-20 · the car on the way to each match. However, the result is kids often arrive far off their optimal mental state, dreading the critique

Sudden Cardiac Arrest and Lindsay's Law

Parent/ Athlete Signature Form

What is Lindsay's Law? Lindsay's Law is about Sudden Cardiac Arrest (SCA) in youth athletes. It covers all athletes 19 years or younger who practice for or compete in athletic activities. Activities may be organized by a school or youth sports organization.

Which youth athletic activities are included in Lindsay's law?

• Athletics at all schools in Ohio (public and non-public)

• Any athletic contest or competition sponsored by or associated with a school

• All interscholastic athletics, including all practices, interschool practices and scrimmages

• All youth sports organizations

• All cheerleading and club sports, including noncompetitive cheerleading

What is SCA? SCA is when the heart stops beating suddenly and unexpectedly. This cuts off blood flow to the brain and other vital organs. People with SCA will die if not treated immediately. SCA can be caused by 1J a structural issue with the heart, OR 2) a heart electrical problem which controls the heartbeat, OR 3) a situation such as a person who is hit in the chest or a gets a heart infection.

What is a warning sign for SCA? If a family member died suddenly before age 50, or a family member has cardiomyopathy, long QT syndrome, Marfan syndrome or other rhythm problems of the heart.

What symptoms are a warning sign of SCA? A young athlete may have these things with exercise:

• Chest pain/discomfort

• Unexplained fainting/near fainting or dizziness

• Unexplained tiredness, shortness of breath or difficulty breathing

• Unusually fast or racing heart beats

What happens if an athlete experiences syncope or fainting before, during or after a practice, scrimmage, or competitive play? The coach MUST remove the youth athlete from activity immediately. The youth athlete MUST be seen and cleared by a health care provider before returning to activity. This written clearance must be shared with a school or sports official.

What happens if an athlete experiences any other warning signs of SCA? The youth athlete should be seen by a health care professional.

Who can evaluate and clear youth athletes? A physician (MD or DOJ, a certified nurse practitioner, a clinical nurse specialist, certified nurse midwife. For school athletes, a physician's assistant or licensed athletic trainer may also clear a student. That person may refer the youth to another health care provider for further evaluation.

What is needed for the youth athlete to return to the activity? There must be clearance from the health care provider in writing. This must be given to the coach and school or sports official before return to activity.

All youth athletes and their parents/guardians must view the Ohio Department of Health (ODHJ video about Sudden Cardiac Arrest, review the ODH SCA handout and then sign and return this form.

Parent/Guardian Signature

Parent/Guardian Name (Print)

Date

Ohl·o I Departmentof Health

Student Signature

Student Name (Print)

Date

Oh• I DepartmentIO of Education

**

Page 10: PLAYER NAME: BIRTH YEAR: AGE GROUP · 2019-06-20 · the car on the way to each match. However, the result is kids often arrive far off their optimal mental state, dreading the critique

Parent Expectations Policy

At Sporting Padula Soccer Academy, we are committed to providing quality soccer training in an environment that is positive and nurturing for all of our members. Cooperation between players, parents, and coaches is essential to deliver on this commitment. Therefore, all parents must adhere to the following expectations:

• Enjoy the gameSoccer is a beautiful game that can teach us a lot about life. We rely on you to support us in our effort to teach the playersto become better athletes and respectful competitors. Remember, if the kids aren't having fun, we're missing the wholepoint of youth soccer.

• Watch practice from a distanceThis time is for the coaching staff to work with the players and for them to enjoy their time with each other. Please don'tinteract with the players during trainings any more than you would while they are sitting in their classroom at school. Thisincludes cheering and standing/sitting alongside the practice field.

• Be SupportiveDuring games, try to be supportive, rather than coaching from the sidelines. As coaches, not only do we focus on your child’stechnical development, we also spend a lot of time developing their decision-making skills. One of the most effective waysto develop good decision making is to allow players to make decisions on their own without fear of reprimand. If a playerrelies on a coach to yell at him/her when to should shoot, for example, then the player never gets to practice making thisdecision himself/herself. We try hard to create an environment where players can make their own decisions without thefear of making mistakes, this can be shattered very quickly if the players hear a constant stream of commands fromspectators. Giving players explicit instructions during a game may help to win that particular game. However, our primaryintent is to develop players that can compete at the highest level. Winning one particular game is not worth sacrificing thedevelopment of our players.

• Avoid LecturesParents with good intentions may give a lecture, covering all the player’s supposed deficiencies and offer playing advice, inthe car on the way to each match. However, the result is kids often arrive far off their optimal mental state, dreading thecritique they are likely to hear, whether they want it or not, on the way home. For the best results, parents should memorizeand use the following: Before the match: 1) I LOVE YOU. 2) ENJOY THE GAMEAfter the match: 1) IT WAS GREAT TO SEE YOU PLAY. 2)HOW DO YOU FEEL? 3) DID YOU HAVE FUN?

• Avoid rewards and punishmentsPlease avoid rewarding players for certain types of play. Paying your child for every time he/she scores can lead to poordecision making on the field (i.e. shooting when a pass was the better choice). Also avoid punishments, such as groundinga player who doesn’t score. Players grow much faster when they aren’t scared of making a bad decision.

• Help teach good nutritionCoaches will often speak with the players about what they should be eating before and after games and practices. Manyyounger players rely on their parents to cook for them or to buy them meals. If a coach has told the players to eat a lightlunch of fruits and grains, then please don’t go to MacDonald’s for lunch! Likewise, players need to have enough coolwater to stay hydrated during games and practices. This means an insulated water jug with some ice. We also offer a 28ozBPA free water bottle for sale in our online store for those who may wish to purchase one.

• Respect coaches, opponents and referees.Apart from the on field training we provide; we also teach our players to be respectful of the game. Respect, Commitmentand Integrity are the core values of our club, and we rely on your support in reinforcing these values. There is never a placein youth sports to use vulgarities, threaten, intimidate, or use physical aggression toward coaches, opponents or referees.If there are inappropriate actions such as these named above, we reserve the right to remove the parent and his/her childfrom the program.

By signing this form, I acknowledge the expectations for involvement in Sporting Padula Soccer Academy and agree to adhere to those expectations as outlined above.

Name:

Signature: Date: *

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Sporting Padula Elite is a premier program offered by Sporting Padula Soccer Academy. As a top level program, Sporting Padula Elite players are the ambassadors of the Sporting Padula Soccer Community. As such, Sporting Padula Elite players are held to a high standard and are required to adhere to the following expectations.

General Expectations All Sporting Padula Elite players are expected to behave in a professional manner at all soccer related events and in the community at large. Sporting Padula Elite players are expected to perform to the best of their abilities on the field and in the classroom. Athletic and Academic excellence are expected of all players.

Team Commitment Sporting Padula Elite players will convene for a “mini-camp” in June. Players will then begin their commitment to their high school teams in July. After high school season (November), players will immediately begin the Elite program training. Training will continue through the end of Spring season (May/June). It is expected that players will attend all training sessions. Excused absences will be permitted for injury, medical situations, and academic situations as addressed directly with Sporting Padula Elite staff.

Tournaments Sporting Padula Elite teams will compete primarily in college showcase events. These tournaments typically run Friday thru Sunday. Players are required to attend all three days. If a player is unable to play all three days he needs to inform his coach immediately so that a guest player can be found.

Absences All missed training sessions, excused or not, will affect playing time in upcoming tournaments and games. Training is the focus of this program and it is the vehicle with which the players will achieve their highest potential. All Sporting Padula Elite players depend on one another to help them Become Better and the training structure depends on all players being present. All absences must be communicated to the Coach and Administrator by text or email.

Multiple Absences Sporting Padula Elite is a program for highly dedicated players looking to play at their highest potential. If a player is repeatedly missing training or tournaments, they may be moved to another team within Sporting Padula Soccer Academy. This scenario represents a forfeiture of Sporting Padula Elite fees – there are a limited number of positions available in the program and the fee structure represents this limitation. Once a position is accepted, full payment is expected.

Playing Time Playing time is not guaranteed in the Elite Program. Playing time will be earned through training and on-field performance. It is the intent of the program to give all players playing time but it is not guaranteed.

Dress Code/Uniforms All players will be required to purchase the full Elite Program Uniform Package. The travel dress code and pre-game/warm-up dress code will be established by the coach. All players will adhere to these dress codes for all games and practices.

Sporting Padula Elite will provide you with the highest quality training, supportive community, and resources to reach your full potential in soccer and as a person.

By signing below, I agree to adhere to these expectations and acknowledge my commitment to the Elite program.

Player Name:____________________________________Signature:___________________________________

Parent Name:_____________________________________Signature:___________________________________ **

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TUTION FEES2019-2020 SPORTING PADULA SOCCER ACADEMY- ELITE TEAMS PAYMENT PLAN

CLUB POLICIES

*2005/U15 – Freshman that play High School will play Spring Only. All other 2005s will play Fall & Spring.* Accepting a position on any Sporting Padula Soccer Academy team is an obligation to pay the above fees in full regardless ofany future decisions to leave Sporting Padula Soccer Academy. No refunds will be given for payments already made.FAMILY DISCOUNT Additional children of a single family enrolling at SP Soccer Academy receive $100 discount to their tuition price. Late payment will void the Family Discount. LATE FEES/RETURNED CHECKS/REFUNDS Accepting a position on any SP Soccer Academy team is an obligation to pay the fees in full regardless of any future decisions to leave SP Soccer Academy. No refunds will be given for payments already made. Fees are non-refundable/non-transferable. Players are expected to pay required tuition fees and other charges by the deadlines indicated. If a payment is not received by the due date a $25 late payment will be assessed. After every subsequent 15 days an additional $25 late payment fee will be assessed. If the account still remains unpaid after 15 days players will not be allowed to participate in any team activity, training, league game or tournament game ("no pay no play" policy) until balance and/or charges are paid. Also 2 late payments will result in the removal of any sibling discount.

Checks retuned for insufficient funds will be charged a $35. PAYMENT PLAN A payment plan is available through the website by credit card only. Parents are responsible for all payments once a position is accepted on a team. Players will not be released from SP Soccer Academy until all financial obligations are fulfilled. TRAINING SHIRTS Training shirts are required for all practice sessions. Players are required to have both color (Blue/Yellow) training shirts. UNIFORMS All SP Soccer Academy players must purchase an official uniform. Uniform packages are available as well as individual items. The minimum uniform package consists of 2 jerseys, 2 shorts, 2 socks, 2 training shirts. Uniform payment is required in full at the time of registration. CONCUSSION or INJURY PROTOCOL Any Player diagnosed with a concussion or injury must be cleared to play by a medical doctor and proceed through the Return to Play protocol prior to playing in league or tournament games. Player will be evaluated by Coach to determine game readiness.

By signing below, I agree to the above terms, payment obligations, and Sporting Soccer Academy policies.

Player Name: _____________________________________ Parent Name:_________________________________________

Parent Signature*:________________________________________ Date:_________________________________________

Birth Year/

Soccer Age

TOTAL

TUITION DEPOSIT

INSTALLMENT PLAN DUE DATES SHOWCASES/ TOURNAMENTS

INCLUDED IN TUITION

Additional Program Features

JULY 1 AUG 1 SEPT 1 OCT 1 NOV 1 DEC 1 FEB 1 MAR 1

2005/U15 ELITE $2299 $374 $275 $275 $275 $275 $275 $275 $275 7

Winter 10 Weeks & 10-12 Sessions at Next Level

2005/U15 ELITE

FALL-SPRING

$2999 $150

discount

$399 $325 $325 $325 $325 $325 $325 $325 $325 10 Winter 10 Weeks & 10-12 Sessions at Next Level

2004 U16 ELITE $2299 $374 $275 $275 $275 $275 $275 $275 $275 7

Winter 10 Weeks & 10-12 Sessions at Next Level

2003/U17 ELITE $2299 $374 $275 $275 $275 $275 $275 $275 $275 7

Winter 10 Weeks & 10-12 Sessions at Next Level

2002/U18 ELITE $2299 $374 $275 $275 $275 $275 $275 $275 $275 7

Winter 10 Weeks & 10-12 Sessions at Next Level

2001/U19 ELITE

$2299 $374 $275 $275 $275 $275 $275 $275 $275 7 Winter 10 Weeks & 10-12 Sessions at Next Level

TUITION

INCLUDES

Training fees, coach’s fees, club administrator costs, field fees maintenance, office costs, entry fees for annual planned Showcases and Tournaments, State registration fees (Ohio South Youth Soccer Association & US Club), Preseason team camp Training, Indoor facility rental (Resolute, Easton) Next Level Fitness and Training sessions, Coaching staff tournament travel, Website development & maintenance, Club marketing & promotions, other costs associated with running the academy and more. SP Winter training, January- through Mid of March at Resolute and Strength, Agility plus Speed training, 10-12 sessions at Next Level.

NOT INCLUDED

IN TUITION

Uniforms, travel costs and fees, any additional show cases and tournaments not included in the team’s annual plan, Summer Camp, Summer Session, and Winter Indoor Training Term 1(November through December).

OPTIONAL

TOURNAMEN

TS

All SP teams are given the option of playing in additional tournaments. If enough players are available the tournaments cost, coach ’s fee, and coach’s travel fee are divided among the players and paid SP office prior to tournament registration. Many teams play multiple optional tournament each year. It is common to invite players from other teams to participate in optional tournaments in order to complete the roster. Typical optional Showcases and tournament fees are $60-$200/player but can vary depending on many variables.

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ELITE UNIFORM

2019/2021 Uniform Order Form Player Name: __________________________

ELITE Uniform Order Form 1. Home and Away uniforms are mandatory for all field players. Goalkeeper uniform jersey & shorts are mandatory for all Goalkeepers. 2. SP Training shirts both colors are required for practices. 3. Uniform is for next 2 years Fall 2019 through Spring 2021.

This is a Mandatory Packages for ELITE Players. Please choose a Package and/or select Individual Items on the next page.

*Reg price after taxes youth $346.15, adult $375.18.

*Reg price after taxes youth $367.65, adult $396.68.

UNIFORM PACKAGE AMOUNT:

ELITE PACKAGE Includes: Home and Away Uniform, Warm Up Set, 1 Backpack, 2 Training Shirts, 2 Socks, and 1 FREE SP Magnetic Decal

PRICE Taxes FREE

Game Jersey (1 Blue/1 White) YM YL AS AM AL AXL 2AXL Youth $322 save more than $24*

Adult $349 save more than $26* FREE SP MAGNET

OR on 2019 Summer on Combo Camp or S. Session* Package

Game Shorts (1 Black/1 Blue) YM YL AS AM AL AXL 2AXL Warm Up Jacket YM YL AS AM AL AXL 2AXL Warm Up Pants YM YL AS AM AL AXL 2AXL Training Shirts (1 Blue/1 Yellow) YM YL AS AM AL AXL 2AXL SP Backpack Socks (BLACK/BLUE) Small Medium Large

ELITE GOALKEEPER PACKAGE Includes: Home and Away GK Kit, Warm Up Set, 1 Backpack, 2 Training Shirts, 2 Socks, and 1 FREE SP Magnetic Decal

PRICE Taxes FREE

Goalkeeper Jersey YM YL AS AM AL AXL 2AXL Youth $342 save more than $25*

Adult $369 save more than $27* FREE SP MAGNET

OR on 2019 Summer on Combo Camp or S. Session* Package

Goalkeeper Shorts YM YL AS AM AL AXL 2AXL Warm Up Jacket YM YL AS AM AL AXL 2AXL Warm Up Pants YM YL AS AM AL AXL 2AXL Training Shirts (1 Blue/1 Yellow) YM YL AS AM AL AXL 2AXL SP Backpack

Socks (White/Blue) Small Medium Large

$15 OFF $10 OFF

$15 OFF $10 OFF

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2019/2021 Uniform Order Form Player Name: __________________________

PLEASE USE THIS SHEET TO ORDER INDIVIDUAL ITEMS

Purchase Terms & Conditions 1. An initial payment of 50% is required at the time the uniform order is made. 2. Uniform payment must be made in full by June 20,20193. *Outstanding balances after JUNE 20, 2019 will beassessed a 15% late payment fee**4. *Outstanding balances after JULY 1, 2019 will be assessed a 30% late payment fee**5. Players cannot participate in league or tournament games without a uniform.6. Late payment will delay uniform availability.

I agree to the above terms: ______________________________ Name: _______________________ Date:: ______________

ITEM SIZE QTY PRICE TOTAL Uniform Jersey BLUE –Youth YS YM YL $35 Uniform Jersey BLUE – Adult AS AM AL AXL 2AXL $39 Uniform Jersey WHITE – Youth YS YM YL $35 Uniform Jersey WHITE – Adult AS AM AL AXL 2AXL $39 Uniform Shorts BLACK – Youth YS YM YL $25 Uniform Shorts BLACK – Adult AS AM AL AXL 2AXL $29 Uniform Shorts BLUE – Youth YS YM YL $25 Uniform Shorts BLUE – Adult AS AM AL AXL 2AXL $29 Warm-Up Jacket – Youth YS YM YL $50 Warm-Up Jacket – Adult AS AM AL AXL 2AXL $55 Warm-Up Pants – Youth YS YM YL $33 Warm-Up Pants – Adult AS AM AL AXL 2AXL $39 GK Jersey GREEN RED - Youth YM YL $40 GK Jersey GREEN RED - Adult AS AM AL AXL 2AXL $44 GK Shorts BLUE BLACK - Youth YM YL $30 GK Shorts BLUE BLACK - Adult AS AM AL AXL 2AXL $34 Hooded Sweatshirt – Youth YM YL $45 Hooded Sweatshirt – Adult AS AM AL AXL 2AXL $49 * TRAINING T- SHIRT – BLUE YS YM YL AS AM AL AXL 2AXL $22 * TRAINING T- SHIRT – YELLOW YS YM YL AS AM AL AXL 2AXL $22 SP Polo Grey White AS AM AL AXL 2AXL $40 Uniform Socks – BLACK Extra small Small Medium Large $13 Uniform Socks – BLUE Extra small Small Medium Large $13 Royal Blue SP Logo Knit Hat Blue One size $19 SP Logo Cap Velcro closure Yellow Blue One size $20 SP Scarf One size $20 SP logo Water Bottle (BPA free) $9 SP Logo Backpack $49 SP Magnetic Decal 1 unit One $7 SP Magnetic Decal 2 units Two $10 SP Bag Tag $6 Backpack Name Embroidery (optional) Name in Capital: $15 *Both Color Training Shirts are required

for all training sessions. Individual Items

Total:

Total of Package Order Total of Individual

Items (if apply) Grand Total

Paid by Cash – CC – CHK # Outstanding Balance *

Make checks payable to: SP SOCCER ACADEMY Mail or Deliver to: SP SOCCER ACADEMY 5605 Westerville Rd, SUITE D Westerville, OH 43081

**Late fees to cover rush shipping and printing fees. Uniforms must be ordered in enough advance time to ensure they are delivered by season opening.