Registration Registration I hereby register my child for the Heidler Soccer Academy.

First name of the child

Child's surname

Child's date of birth

Street

Postcode

Location

Group Group Kindergarten child (37 € per month) Pupils (47 € per month) Dresden International School (37 € per month)

options options Transport/collection (12 € per month). I hereby authorize the Heidler Soccer Academy and its employees to pick up and transport my child (school/after-school care/day care center). Sibling (20% discount, not on transport)

Admission fee Admission fee I accept the one-off admission fee of 35 €. This includes the HSA starter set, consisting of jersey, pants and water bottle. Please tick the desired size of the jersey below.

Jersey size Jersey size 96 104 110 116 128 140 152 164

Name_daycare/school

Pick up time

Training time Training time09:0009:1509:3009:4510:0010:1510:3010:4511:0011:1511:3011:4512:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:0016:1516:3016:4517:00

Start of training_from

Training day Training dayMondayTuesdayWednesdayThursdayFriday

Training place Training placeSoccer Arena DresdenInternation School Dresden

First name of legal legal guardian

Name of the legal guardian

E-mail address

Phone

Remarks

Direct debit authorization Direct debit authorization I/we hereby revocably authorize you to collect the payments to be made by me/us to the Heidler Soccer Academy from my account by direct debit when they are due.

First name of the account holder

Name of account holder

IBAN

Name of institute of credit

Assignment of Image Rights/Photography Permission Assignment of Image Rights/Photography Permission For the design and maintenance of the website, the creation of brochures, information and advertising material for the Heidler Soccer Academy, we ask for your consent to the free use of photos in which you or your children are shown. These are images that are or have been created at events and during training. I hereby assign the rights to my picture to the Heidler Soccer Academy. The Heidler Soccer Academy accepts this assignment and ensures the necessary data protection in this respect.

Conditions Conditions Yes, I have read the General Terms and Conditions (GTC) of the Heidler Soccer Academy and accept them.