The Keeper Club | Annual (new)

The Keeper Club Registration - Yearly Subscription

WELCOME TO THE KEEPER CLUB!

We are thrilled to have you join our Keper Club & Community!
We recommend you do Not use autofill for this form. Please read all instructions carefully.
Membership is not active until payment has been received.

CHOOSE 12 MONTHS & SAVE $30 PLAN - ($17.50/mo.) - $210.00 billed once every 12 months.

Let's Meet Your Goalkeeper!

Goalkeeper First Name

*If under 13, must be a Parent/Guardian Name

Goalkeeper Last Name

*If under 13, must be a Parent/Guardian Name

Goalkeeper Birthdate

(MM/DD/YYYY)

Member Access / Subscriber Information

Please save the information you fill out below.
This will be your username & password to access the private membership content!
**If transitioning to the New Platform, please use same Login Information**

Subscription Login Email

*Your email will be your Username.

Subscription Password

Please include at least one capital letter, a number, and a special character.
Ex: KeeperSusie9!

Parent/Guardian Information

Parent First Name

Parent Last Name

Primary Email

Secondary Email

Phone

Address Line 1

Address Line 2

City

ZIP/Postal Code

Country

WAIVERS

Please read the following documents.

Keeper Wars Ink, LLC Goalkeeper Club Code of Conduct

Keeper Wars Ink, LLC Photo/Video Release

I have read and accept the above documents.

Yes

Adult or Guardian Signature

*Sign here to acknowledge that you have read and consent to the release and waivers shown above, in their entirety.

Full Name

Sign

Additional Goalkeeper Information

Team Name

Club Name

GK Training

Fitness

Your understanding of exercise

On a scale 1-10 (10 being excellent & 1 being none)

Nutrition

Your understanding of nutrition

On a scale 1-10 (10 being excellent & 1 being none)

Performance & Mindset

How proud of yourself and your career are you so far?

On a scale 1-10 (10 being excellent & 1 being none)

How well do you handle the pressures of being a goalkeeper?

On a scale 1-10 (10 being excellent & 1 being none)

CHOOSE 12 MONTHS & SAVE $30 PLAN - ($17.50/mo.) - $210 billed once every 12 months (Can cancel at any time.)

You will be redirected to ZOHO to begin your subscription.

*Membership is not active until payment has been received. We can't wait to meet you!

*For office use only

Payment

Discount

Subtotal

Tax

Total USD