Révolution Football Académie

Registration - Revolution Academy

Fully online registration (replaces the paper form). Sign in, complete every section, then submit. Our team will confirm your spot and billing.

This information is used for registration and supervision. A parent or legal guardian must complete the form for a minor.

Player

Last name

First name

Date of birth

Place of birth

Nationality

Sex

Address and contact

Street address

Postal code

City

Phone (player or family)

Health insurance (Quebec)

Health insurance number

Card expiry

Parents / guardians

Guardian 1 (required)

Full name

Relationship to player

Phone

Guardian 2 (optional)

Full name

Relationship to player

Phone

Membership option

One session per weekTwo sessions per week

AuthorizationsI authorize my child to participate in training sessions and competitions.I authorize staff to take necessary steps in a medical emergency.

Publication of the player's photos on club communications

I authorize publication of photosI do not authorize publication of photos

Attendance and absences

Révolution Academy / FootVibe is not responsible for a participant's absences, whether occasional (one session, one day) or repeated. Any missed session does not entitle the family to a refund, credit, or make-up session, except by rare written agreement from the Academy. Regular attendance remains the parent or legal guardian's responsibility.

I have read and accept the attendance and absence policy above.

Sporting background (optional)

Age group *

Usual position (if any)

Experience / previous club

Waiver and declaration

I, the undersigned parent or legal guardian of the minor participant, authorize participation in FootVibe / Revolution Academy activities. I acknowledge that soccer involves inherent injury risks and voluntarily consent on their behalf. I release FootVibe, its administrators, directors, coaches, employees and representatives from liability for bodily or material harm arising from activities, except in cases of intentional or gross fault, in accordance with applicable Quebec law.

I have read and accept the text above.

Signed at (city)

On (signature date)

Full name of signatory (parent or legal guardian)

By submitting this form, you attest that the information is accurate and it counts as your signature for the authorizations above.