Become a Member

If you are interested in becoming a KickStart Member, please complete the below online application form. Alternatively, please download the application form below, complete and return to KickStart. [wpfilebase tag=file id=14 /]

There is a discount for families with more than one Student/KickStarter Member:

  • Student – $210 / Student + 1 Sibling – $405 / Student + 2 Siblings – $585
  • KickStarters – $125 / Student + 1 Sibling – $240 / Student + 2 Siblings – $345

Please note, you will also be asked to sign a liability waiver and a code of ethics.

We will contact you as soon as possible following your submission of the below form.

Membership Registration Form
  • 0
  • Dear KickStart Member and Parents / Guardians, KickStart Football Club seeks to ensure strong communications with its members. In completing the below registration form, please include contact information for members and up to two parents / guardians. We would be happy to include more guardians on our contact list, should this be necessary, please simply, let us know. Contact the office as soon as possible with any changes to this information. We will ask that ALL members (even returning members) complete a registration form once a year to ensure that our files are accurate. Best, KickStart management
    1
  • Membership Class*select one
    Student Football Member: Ages 6 to 18 - $210/term or $585/year
    KickStarters Football Member: Ages 4 & 5 - $125/term or $350/year
    Stars & Genesis: $100/year + $15/month training fee
    Overseas Student Member: $110/year
    Ordinary Member Fee: $110/year
    2
  • Please make cheques payable to Kickstart FC.
    3
  • 4
  • Member Details
    5
  • Name of Member*full name
    6
  • Date of Birth of Member*click on the calendar to the right to set birth date
    7
  • Occupation of Member*if student, indicate 'student'
    8
  • Name of School / Place of Employment*
    9
  • Email (Member)*
    10
  • Telephone Number (Member)*
    11
  • Parent/Guardian Details
    12
  • Name of Parent / Guardian (if Member is under 18 years old)*full name
    13
  • Relationship to Member*
    14
  • Address*
    15
  • Email*
    16
  • Telephone*
    17
  • Mobile*
    18
  • Occupation*
    19
  • Employer*
    20
  • Volunteer Interests*
    21
  • Parent/Guardian Details
    22
  • If you wish to add a second parent/guardian to the application, please complete the section below.
    23
  • Name of Parent / Guardian*full name
    24
  • Relationship to Member*
    25
  • Address*
    26
  • Email*
    27
  • Telephone*
    28
  • Mobile*
    29
  • Occupation*
    30
  • Employer*
    31
  • Volunteer Interests*
    32
  • Other
    33
  • Are you a new member or a returning member?*
    New Member
    Returning Member
    34
  • If you are a new member, please tell us how you heard about KickStart FC.*
    35
  • If you are a returning member, please note the previous term undertaken with KickStart FC.*Term/Year
    36
  • Preferred Method of Communication*
    Email
    SMS
    WhatsApp
    Facebook/Website
    37
  • In case of emergency
    38
  • Allergies / Ailments*if none, indicate 'none'
    39
  • Emergency Contact Name*full name
    40
  • Emergency Contact Telephone Number*
    41
  • Photo
    42
  • Please submit 'passport styled photos' on a white background. Please label the photo file the name of your child/yourself - first name/last name (eg. David Porter). If you are unable to provide a photo, please inform the KickStart office.
    43
  • Files*upload passport sized photo - white backgroundUpload
      44
    • 45
    • 46
    • Waiver
      47
    • INDIVIDUAL PARENTAL WAIVER - RELEASE OF LIABILITY & INDEMNIFICATION By participation at KickStart Football Club Inc.’s (“KickStart”) football and tennis programs and by payment of the fees as confirmation, a player and guardian agrees to understand and accept the following disclaimer: 1. To release KickStart Football Club Inc. from all risks of personal injury or personal property damage which might be associated with participation and involvement in these programs. I further voluntarily remise, release and forever discharge the Directors of KickStart, its successors, assigns, officers and agents from any and all injuries, losses or damages of any kind whatsoever suffered by the player as a result of the voluntary use and participation in any facilities and activities provided through KickStart. I hereby certify that the player’s physical condition is at a sufficient level to enable them to use the participate in club activities safely. We agree to follow all instructions, rules and regulations of KickStart regarding use of any facilities while engaged in KickStart’s activities. 2. To understand that there are certain inherent risks and hazards involved in participating in athletic events that may result in injury or death to me or my child including, but not limited to those hazards associated with weather and playing conditions, equipment and other participants. 3. Further, in consideration of participation in the Club, we agree on behalf of myself and the player and my heirs and anyone else acting on my behalf to release, indemnify, and hold harmless, and covenant not to sue, KickStart and all of its members and/or agents, from all liability for any personal injury or personal property damage the player might sustain during practice, other workouts, or contests, whether supervised or on their own, and whether attributable to negligence, gross negligence, or recklessness on the part of such persons or entities. BY MY SIGNATURE, I ACKNOWLEDGE THAT I HAVE READ AND THAT I UNDERSTAND EACH AND EVERY ONE OF THE PROVISIONS IN THIS WAIVER, RELEASE OF LIABILITY:
      48
    • Date*
      49
    • Signature of Member*enter your name in the field below to indicate consent to the above terms and conditions
      50
    • Signature of Parent / Guardian*if Member is under 18 years old
      51

    Back to Top ↑
    • Facebook Friends

    • Results

      2016 youth football results can be found here. Congrats to the U9s for winning the 2016 season and to the U13s for taking the 2016 Barbados Cup!

    • Upcoming Events

      No Events were found.