2019 STRIKER CAMP
Monday June 24th- Thursday June 27th
9:00-10:30 am ages 6 and up
2021 Cross Timbers Road, Flower Mound TX 75028
$100 per camper
Camper First Name *
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Camper Last Name *
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DOB *
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Gender *
Parent Name (first name last name) *
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Email *
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Phone *
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List all medications named child takes and administration instructions. *
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Current Team
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Liability Release and Medical Authorization The above named camper is in good health and has my permission to participate in the Iseed Khoury Striker Camp. In case of emergency, I grant permission for my child or ward to receive emergency treatment. In consideration of the acceptance of my child or ward to the Iseed Khoury Striker Camp, I hereby, for myself and my child or ward, release the Texas Spirit Soccer Club, its affiliates and its respective coaches, employees, officers, directors, agents, officials, volunteers, sponsors and owner of the facility from and against any liability claims or demands for any injury illness or death incurred at or arising by virtue of participation in the Iseed Khoury Striker Soccer Camp. I also, for myself and my child or ward assume complete financial responsibility for any personal injury or property damage created as a result of an intentional or neglectful act of my child or ward as he/she is participating in the Iseed Khoury Striker Camp. Please type your name and date below! *
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Payment Option *
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