Fall Break Clinic · Ages 5–15

Four focused days.
One clear goal.

Complete this dedicated form to reserve your player’s place for four days of ball control, shooting, confidence, and game-ready training.

Dates: November 23–26
Schedule: Monday–Thursday · 9 AM–1 PM
Price: $365 one time
Location: 2219 SE 163rd Street · Hawthorne

Fall Break Clinic registration

Reserve their place
at the clinic.

Register your player for the four-day Fall Break Clinic and complete the parent or guardian waiver in one form. Then continue to payment or Step Up For Students instructions.

1Details & waiver
2Payment
3Welcome

Step 1 of 3

Registration & waiver

Tell us about your child, add emergency information, and sign once at the bottom.

Choose a program

ProgramDates & time

Child information

Child’s full nameAgeMedical notes, allergies, or medications (optional)

For children age six and younger, a parent or responsible guardian is required to remain onsite throughout the program.

Parent or guardian

Full nameEmailPhone

Emergency contact

Contact nameContact phone

For the Fall Break Clinic, cancel by Friday, November 20 for a full refund; cancel November 21–22 for a 50% refund. No refunds beginning Monday, November 23.

Payment method

Will this child use Step Up For Students scholarship funds for ORVIT?

Yes — Step Up For StudentsSkip regular checkout. After signing the waiver, we’ll show you how to find ORVIT in EMA and reserve funds.No — I will pay directlyAfter signing the waiver, continue to ORVIT’s secure checkout.

Participation waiver

I am the parent or legal guardian of the child or children included in this registration and authorize their participation in ORVIT programs operated by ORVIT LLC on property owned by Inaudi and Cevallos.

I understand that soccer, fitness, gardening, art, outdoor education, agriculture, nature exploration, and related activities involve inherent risks, including falls, collisions, weather exposure, plants, insects, tools, uneven terrain, and physical exertion. I knowingly accept these risks on behalf of the participating child or children.

To the fullest extent permitted by Florida law, I release, waive, and hold harmless ORVIT LLC, Inaudi and Cevallos, and their owners, employees, coaches, volunteers, agents, and representatives from claims arising from ordinary negligence connected with participation. This does not waive claims that cannot legally be waived.

I authorize ORVIT staff to obtain emergency medical care when I cannot be reached and accept responsibility for resulting costs. I confirm that the information provided is accurate and will notify ORVIT of material changes.

I understand that missed recurring-program classes are not eligible for make-up sessions, prorated tuition, refunds, or account credits. Special clinics follow the refund terms stated at registration.

I have reviewed the participation risks and release terms.I authorize emergency care according to the agreement.I understand ORVIT’s attendance and cancellation policies.I confirm that I am the participating child’s or children’s parent or legal guardian and am authorized to sign.I agree to use my typed name as my electronic signature.

Parent/guardian electronic signatureDate signedToday’s date is filled automatically. You may edit it if needed.

Optional: I permit ORVIT to use photos or video of my child for program and promotional purposes.

How this form uses your information

ORVIT LLC collects the child, parent or guardian, emergency-contact, program, and signed-waiver details entered here. Optional medical notes and photo or video permission are included only if you provide them. ORVIT uses these details to manage participation, safety, registration, and communication with your family.

Form records are stored in ORVIT’s website database hosted by Cloudflare. The form also records recognized referral and campaign categories when present; full referral URLs and arbitrary campaign text are not saved. Registration confirmation emails use Wix; your email address is sent to Wix for that purpose. Self-pay checkout takes place on ORVIT’s Wix payment site, where payment information is entered separately.

The website uses first-party, aggregate traffic measurement to count public-page views and estimate visits. A temporary timestamp and coarse source category are kept in the browser tab; analytics use no tracking cookies or visitor IDs, and do not store names, contact details, child details, IP addresses or user agents. Do Not Track and Global Privacy Control are respected. Reports cover 90 calendar days; older traffic counts are removed on the next tracked visit or dashboard load.

Questions about information you submit? Contact grow@orvitlab.com.

Four focused days.One clear goal.

Reserve their placeat the clinic.

Registration & waiver

Four focused days.
One clear goal.

Reserve their place
at the clinic.