DSSA: Online Registration

DSSA Registration

Registration for the Charlotte North Carolina Camp is now open. Due to the limited number of participants that will be accepted for this event, individuals are encouraged to register early. Please refer to our website periodically for updates related to this camp.  Feel free to contact us with any questions you may have at sukeracademyusa@gmail.com.

Once your registration has been received and confirmed by DSSA, payment instructions will be forwarded to you.



Davor Suker Soccer Academy Postponed | Charlotte NC
Charlotte NC Postponed

(October 31, 2009) Davor Suker Soccer Academy  has postponed the Charlotte NC camp scheduled for November 14 - 15,  due to a personal matter that has forced Davor to cancel his travel plans .  A rescheduled date will be announced as soon as possible and we encourage interested parties to refer back to our website for updates.

 

We would like to thank the Charlotte community for their very positive response to our first camp. Individuals who have registered for the event will be contacted directly when a new date has been set and will be given priority booking privileges. Online registration will remain open enabling interested parties to register for the purposes of receiving updates related to the rescheduled event. (no obligation and no payment will be required)

 

Please feel free to contact DSSA should you have any questions.  sukeracademyUSA@gmail.com

 



Charlotte NC | November 14-15, 2009 | Online Registration
     
   

Please complete the form below to register for the Davor Suker Soccer Academy weekend camp taking place in Charlotte NC. We look forward to seeing you at the event!

Section 1: Registration


Registration Type: *
If registering as a group, all individuals will need to reference the same group name in the box below as it will be cross-referenced with the other registrations that are received by DSSA.
Name of Your Group/Team (Choose a Unique Name):
Section 2: Player Information
First Name: *
Last Name: *
Gender: * Female
Male
Players Birthdate: * Pick a date
Current Soccer Club: *
Current Level: * Recreation
Challenge
Classic
Premiere
Other
Current Age Bracket: *
Primary Position:
T-Shirt Size: *
Section 3: Contact Information
Main Contact E-mail: *
Enter E-mail Again:
Address: *
City: *
State: *
Zip or Postal Code: *
Country: *
Parent/Guardian Name: *
Home Phone: *
Section 4: Medical & Emergency Contact Information
Emergency Contact: *
Cell Number: *
Alternate Number:
Alergies or Medical Conditions:
Medications Taking Now:
Section 5: Parent Waiver & Consent
As the parent or legal guardian of the child named above, I hereby give my full consent and approval for my child to participate in the Davor Suker Soccer Academy (Camp). I understand that there are certain risks of injury inherent in the practice and play of this sport, and I am willing to assume these risks on behalf of my child. I hereby certify that my child is fully capable of participation in these activities, except as listed above. In addition to giving my full consent for my child’s participation, I do hereby waive, release, and hold harmless the Davor Suker Soccer Academy, its coaches and representatives, Queens University, and any other owners of the fields and facilities utilized for the program for any injury that may be suffered by my child in the normal course of participation and the activities incidental thereto. In case of an emergency, I grant permission for my child to receive emergency treatment.
I Agree With The Statement Above: *
Additional information including payment instructions will be forwarded once registration has been confirmed by the DSSA. Please note that space in the camp is limited - completing this form does not guarantee entry into the camp as we need to maintain our coach to player ratio.