AR_Test

Register Here for the Just4Keepers Academy

Register for Goalkeeper Coaching at the Just4Keepers Academy by completing the form below.

Your ‘Welcome Package’ Costing $47 (Retail Value $70) will be shipped to you upon completion of your registration (ONE TIME REGISTRATION FEE)

The Items below are in your ‘Welcome Package’ (Glove Color may vary)

Upon Completion of the form, you will be forwarded to a Payment page to complete the registration. You will receive a confirmation email informing you your registration is complete.

PLEASE BE SURE TO SELECT THE CORRECT ACADEMY LOCATION IN THE STATE YOU ARE LOOKING TO REGISTER IN!! (this form is a Central Registration page for multiple J4K USA Academy Locations)

PLEASE NOTE, YOUR REGISTRATION IS NOT COMPLETE UNTIL THE REGISTRATION PAYMENT IS RECEIVED!!

Register For Just4Keepers USA

Upon Completion of this form you will be forwarded to the Payment Page!You MUST complete the payment for your registration to be complete.Upon receipt of payment, you will be forwarded a Confirmation email

Keeper First Name

Last Name

If Other, Please Specify

[{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Jim Kloes-Central Kansas","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"jimkloes@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Nicki Swanson-central texas","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"nickiswanson@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Adrian Clewlow-central virginia","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"adrianclewlow@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Errin Stanton-Charlotte","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"errinstanton@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Greg Cope-delaware","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"j4kdelaware@gmail.com"},{"field":"J4K_Keeper_who_referred_you_If_Applicable","logic":"equal","value":"Rick Zucchi-florida central","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"rickzucchi@just4keepers.com"},{"field":"Which_Club_do_you_Currently_Play_For","logic":"equal","value":"Giuseppe Weller-South Florida","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"giuseppeweller@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Goalkeeper training hawaii","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"info@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Mark Phillips-idaho","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"j4kidaho@gmail.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Antonio Torrico-maryland","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"antoniotorrico@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Alan Rubin-massachusetts west","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"airubin13@gmail.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Jim Kloes-melbourne","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"jimkloes@att.net"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Roy Howell & Phil Lucas-michigan","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"info@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Andy Woodcock-minnesota","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"andywoodcock@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Joshua Olsson - Stephen Wilson Swanger-montana","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"j4kmontana@gmail.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Kevin-nashville","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"info@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Red-TRAINING IN NEW MEXICO","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"coachred@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"David McCracken-North California","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"j4knorcal@gmail.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Luke Baxter-nebraska","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"lukebaxter@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Russell Dishman-West Virginia","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"russelldishman@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Dan Tunstall-Western Texas","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"dantunstall@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Stephen Wilson Swanger-Washington State","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"just4keepers.wa@gmail.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Luis Cardoso-south texas","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"luiscardoso@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Jaime Bravo-south california","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"Jaimebravo@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Jake Dodd-north west pa","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"jakedodd@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Simon Robinson-pennsylvania","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"info@j4kofeastpa.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Beni Brannigan-North Texas","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"benibrannigan@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Larry Dolph-Northern Virginia","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"larrydolph@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Gavin Mc Inerney-new york west","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"gavin@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Prince Knight-new york east","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"princeknight@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Paul Henri-north new jersey","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"paulhenri@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"GOALKEEPER COACHING TRAINING IN NEW JERSEY \u2013 CENTRAL","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"chrisredcay@just4keepers.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"GOALKEEPER COACHING TRAINING IN VIRGINIA - WEST","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"paulo.gk@hotmail.com"},{"field":"Select_the_J4K_USA_Program_You_Are_Registering_For","logic":"equal","value":"Goalkeeper Training in Albuquerque","and_method":"","field_and":"hidden_email","logic_and":"","value_and":"","new_value":"aguyker@gmail.com"}]

Welcome Package

J4K Gloves/Academy T-Shirt (Glove Style and Color may Vary) Need Sizing Assitance? For Assistance with sizing, Please visit the Link below

Parent/Guardian Consent

I hereby consent to any and all health services necessary by Just 4 Keepers staff to refer my child for consultation to any licensed medical specialist or to any area Emergency Room. I give authority and power to any such physician/surgeon to render any and all health services that may be deemed necessary or advisable. I authorize the Just 4 Keepers Director to accompany my child and sign permit forms required by the Medical Counter. I understand in case of serious accident or illness every effort will be made to contact me. I understand I will be responsible for any costs or care provided.

Submit

Translate »

%d bloggers like this: