Complete and print off this form for EACH registering player. 

Return forms & checks (made to "Elite Coaching") to:

Elite Coaching

P.O. Box 35

707 Doc Henry Rd

Greenwood, MO 64034

To pay by credit card or electronic check for the Brandi Chastain Camp, please use online registration link on the camp page.

Activity(s) Enrolling In:

Player Name:

Date of Birth:                              Current Age:

Street Address:

City:                                             Zip:

Name(s) of Parents:

Parent Home Phone:                                   Work/Cell Phone:

Parent E-mail:

Current Team:

How or who did you hear about us?

Purchase an Elite Coaching uniform kit for a reduced price with your registration - $29 for a complete uniform jersey and shorts.     ________

Total Payment Enclosed or Pay by Credit Card:  ___________

Please run my credit card upon receipt of this registration form.  My signature indicates my approval of this transaction.

Signature:  _____________________     Date:  ___________

Credit Card Type:

Credit Card Number:

Credit Card Expiration Date:

I, ____________________________________, (parent or legal guardian) hereby release Elite Coaching, LLC,  and all associates, employees, volunteers, officials and agents associated with this program and MVP Sports KC, LLC and facilities from any claims, liabilities, loss of services, and cause of action of any kind for personal injury including death and propery damage arising in any way out of participation.  I hereby authorize the supervisors of Elite Coaching, LLC to act for me according to their best judgement in an emergency requiring medical attention.  My son/daughter is fully covered by our personal family health plan in the event of sickness or injury.  Parents and guardians must inform Elite Coaching, LLC of any and all special health needs.  Elite Coaching, LLC reserves the right to utilize images and/or pictures of all program participants for future Elite Coaching, LLC and MVP Sports KC, LLC publications and promotions.

Signature of Parent or Legal Guardian:  __________________________

                                                      Date:  _________________

Questions concerning registration should be directed to:

816-853-1313 or elite@mvpsportskc.com

Questions regarding the Chastain camp should be directed to Michelle at 816-820-2774 or elitesoccercamps@yahoo.com