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CCFC 2019-2020 Goalie Wars
May 17 - 4:00-8:00pm

Email address *
Player Information
First Name *
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Last Name *
Your answer
Gender *
Birthday *
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Parent Name *
Your answer
Parent Phone *
Your answer
Consent for Medical Treatment
As parent or legal guardian of the above-named registrant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are deemed necessary to preserve the life, limb,or well-being of the registrant.
Participation Risk Statement
I, the undersigned am a parent or legal guardian of the named minor. I fully understand that participating in the sport of soccer presents a risk for serious injury and death. In my capacity as parent or legal guardian, I understand the risks and my responsibility to notify the other parent or legal guardians as well as the minor of the risks involved with sport participation. I have made a conscious decision to allow the named minor to play. I agree that my health and accident insurance will be the primary insurance to cover expenses for any such injury, including rehabilitation.
Parent or Guardian Signature *
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Date *
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