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PARENTS CONSENT/WAIVER:

I, the parent/guardian of the registrant, _____________________________, a minor, agree that the registrant and I will abide by the rules of the Mondonedo Football Academy. I guarantee that my child is physically fit to undergo the different activities of the academy. Having considered the benefits that my child will derive and recognizing the possibilty of physical injury associated with the sport and in cosideration for the academy accepting the registrant for it's soccer programs and activities, I hereby release, discharge and/or otherwise indemnify MFA, their coaches, and associated personnel, including the owners of the fields and facilities utilized for the programs, against any claim by or on behalf of the registrant as a result of the registrant's participation in the programs.

Parent's Signature:______________________ Date:______________________

IMPORTANT: Reservation Fee of P500 per player for each month is required. Checks payable to: Robert B. Mondonedo Jr.

CONTACT: COACH BUTCH
TEL #: 0918-9061249

* Child's Name:
Nickname:
* Date of Birth:
* Nationality:
* School of Studies:
* Residence:
* Home Phone:
* Email:	(Please enter valid Email Address)
• Father's Name:
• Mother's Name:
* How did you hear about MFA:
Referred by:
Referrals:


* Program:	MFA Grassroots

	Specialized Skills Development Programs



* Availability of Schedule:	Mon Tue Wed Thurs Fri Sat
* Time Slot:	3:30 PM 4:30 PM