Survey Questions
* Participant's Gender
* Participant's Date of Birth. Write DOB as (mm/dd/yyyy)
* Parent/Guardian -1 Full Name:
* Parent/Guardian -1 Relation to participant:
* Parent/Guardian 1 Phone number (available during training session):
* Parent/Guardian -1 email:
* Parent/Guardian -2 Full Name:
* Parent/Guardian -2 Relation to participant:
* Parent/Guardian -2 Phone Number (available during training session):
* Parent/Guardian -2 Email:
* Emergency Contact Full Name: (other than a parent/guardian,
to use if a parent is not available)
* Emergency Contact Relation to participant:
* Emergency Contact Phone Number (available during training session):
* Please advise if you child has any medical condition(s):
* Please advise if you child takes any medications:
* Please advise if you child has any allergies: (medication, environmental, food)
* 11. Does your child use an EpiPen:
* Additional information about the participant the coach should be made aware of:
* Program Selection:
*Drop-off program only. Parents are not allowed in the gym (School Policy)
*A minimum of 8 participants required to run a session.
Clinic location - Bialik Viewmount
* Please select your preferred jersey size:
* Please select your preferred short size.
* For socks please select your shoe size:
* Allow Maccabi Canada to add my name to a third-party program/provider that shares the team’s roster, scheduled practices, games and updates. (For example: WhatsApp, TeamSnap)
* I hereby release Maccabi Canada and Elite Soccer Clinics to use my photograph/video footage for Marketing purposes. I agree to the photo/video release.
* If Maccabi Canada has to cancel a specific session day (1 of the sessions offered in the program) due to weather, facility etc. a make up session will be provided. If the participant is not available for the make up session they will be provided the option to attend one session in the next season or a credit will be on file. NO REFUND will be provided as Maccabi Canada is offering a make up option. The participant can donate the credit and receive a tax receipt.
* Maccabi Canada reserves the right to cancel any program at any time if they feel it is not safe to continue to run and participate.
Safety of the participants, staff and their families is top priority.
* Refunds are based on the full fee value of the season.
Administration and processing fees of $100 are non-refundable.
If a player withdraws up to 14 days prior to the start of the season, the refund will be the full fee less 35% plus the admin fee.
If a player withdraws within 14 days prior to the start of the season, the refund will be the full fee less 50% plus the admin fee.
If a player withdraws once the season has started, the refund will be the full fee less 75% plus the admin fee.
NO REFUNDS after 2 completed team practices. If the player selected the option to pay by installments, all remaining installments will be processed according to the payment plan. Please allow 6-8 weeks for refunds to be processed by cheque.
* How did you hear about the Maccabi Sports Clinics
* Maccabi Canada will offer ONE makeup training session for any missed training during your season.
The make up session can ONLY be used during your current enrolled season on the days/time our programs run.
A make up session can NOT be carried over to another season.
By continuing, you acknowledge that your credit card will be charged on a recurring basis for the duration outlined or until cancelled.
Your privacy is important to us, so Maccabi Canada will keep your personal data secure and Maccabi Canada will not use it for marketing communications which you have not agreed to receive. At any time, you may withdraw consent by emailing or by contacting our Privacy Officer. Please see our
Privacy Policy