2025 Gold & Goal Online Application
Event Address: Seneca High School (110 Carranza Road - Tabernacle, NJ 08088)
Contact us at  cmelsoccerllc@gmail.com

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Email *
Camper First Name *
Camper Last Name *
Gender *
Grade for 2025-2026 School Year *
T-Shirt Size *
Parent First Name *
Parent Last Name *
Email *
Phone Number *
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact Phone Number *
Please list and explain any medical concerns/allergies/injuries *
Terms and Conditions I, (parent/guardian), give my child, permission to participate in the Gold & Goal Soccer Camp operated by Cmelsoccer, LLC.  I have no knowledge of any physical or mental impairment that would affect this camper from participating in the camp’s program.  I give permission for my child to be given emergency treatment at a local hospital if deemed necessary. Upon signing, I agree that in case of an accident while in the Gold & Goal Soccer Camp, I accept full responsibility for any and all liabilities, and release Cmelsoccer, LLC, the camp directors, instructors, Seneca High School, Lenape Regional High School District or any recreational facilities that may be used for camp from any liability.  I hereby, by signature, acknowledge reading and understanding the terms of this agreement and verify that my child is physically fit to participate in this event. I also agree not to hold Cmelsoccer, LLC, responsible in the event that my child engages in inappropriate conduct (including, but not limited to disruptive or volatile behavior, etc.) or becomes involved in any activity with any persons not associated with Cmelsoccer, LLC, or its scheduled program.  I further attest that the information contained in this application is correct to the best of my knowledge. In addition, I have agreed to the policy and fee statement and agree to comply. I hereby give permission for my child’s picture to be used by Cmelsoccer, LLC, for any educational or promotional purposes. *
Electronic Signature *
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