APPLY NOW – GOALGETTA ACADEMY

GOALGETTA ACADEMY is purely voluntary on the part of each participant. Reasonable precautions will be taken in the interest of safety. I hereby grant permission to GOALGETTA ACADEMY or related organizations to use any photographs, video/audio recordings or any likenesses for publicity and promotional purposes such as television, print and radio broadcast. By completing this form and clicking “Submit” I hereby waive all claims for any compensation for such use and for damages.

Apply for GOALGETTA ACADEMY

Student Full Name
First Middle Last
Which Session are you enrolling in?
- Young King Session
- Young Queen Session
How old is your child?
Date of birth?
MM slash DD slash YYYY
What size shirt does your child wear?
- Small
- Medium
- Large
- X Large
- 2X/3X Large
They will receive a shirt upon completion of the program!
Parent/Guardian Information
Please FILL OUT COMPLETELY these items below to ensure proper communication... Your Name Address City State Zip code Primary phone number Email
Tell us something about your YOUNG KING/QUEEN
We ask this to ensure we can connect with your child immediately. (Also let us know if they have any allergies)

There’s a $80 (non- refundable) enrollment fee per child you can pay via PayPal by clicking the button below or contact Jamar J Black Blackmon for other methods of payment.

“Our future leaders will be GREAT!! SUCCESS IS THE ONLY OPTION!!”

Click Here to Pay!