SM Youth Summer Soccer Camp- Raiders
The SM Youth Summer Soccer Camp is for any 5th-8th grade boy or girl who may be interested in participating in a soccer program at the high school level.
First Name:
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Last Name:
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Grade 2017-2018:
What Elementary or Middle School do you attend?
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T-Shirt Size:
Street Address:
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City:
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State:
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Zip Code:
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Parent/Guardian Name:
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Emergency Contact Phone Number:
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Email (Parent/Guardian):
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WAIVER STATEMENT: The undersigned states that He/She understands that the High School Soccer Camp run by SM HS Soccer Camps is not and shall not be responsible for or liable for any illness, or injury to person or damage to property resulting from participating in said program, and the participant and the undersigned, if the participant is a minor or under legal disability, hereby forever release and holds harmless the said Youth Summer Soccer Camp, its employees, agents and representatives from any and all claims of any kind that the participant, or the undersigned or their respective heirs, executors, administrators, or assigns may have or claim to have resulting from participating in said program.
By entering your name below, you agree to the terms and conditions of the Waiver Statement listed above and certify that you are 18 years of age or older and are the parent/guardian of the participant.
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How would you like to pay?
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