"*" indicates required fields Product NameSelect option* $30 for 1-hour session $120/month for 8 sessions (no makeups) Select number of sessions you wish to register for12345678Selected 1 month option 8 sessions for one month Child Name* First Last Child's Date of Birth* MM slash DD slash YYYY Select Gender*MaleFemaleSelect Grade*Grade KGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12Contract and Waiver Acceptance* I accept the terms of the Contract and Waivers above. Total Waiver I hereby instruct ALLSTARS UNITED EDUCATION FOUNDATION ("AUEF") to use the email addresses on this registration for all communications from AUEF to us until we notify AUEF at info@allstarsu.com of an alternate address. If we do not have access to email, AUEF will use the phone numbers on this registration. I hereby give my consent to have an athletic trainer, teacher, 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 event activities, and hereby release, discharge, and otherwise indemnify AUEF, US Club Soccer, AYSO, AAU, 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 applicant/participant registering herein as a result of that applicant/participant participation in Programs selected above. I acknowledge that I understand that all registration fees paid are non-refundable.