PGA Soccer Preseason Registration
Preseason Camp Monday, August 5 - Thursday, August 8 from 3-5PM ($100/Player)
Team *
Name of Player *
Your answer
Age *
Your answer
Shirt Size *
Email *
Your answer
I hereby approve of my child’s attendance at the Team Works Sports Program and certify that he/she is in good health and able to participate in the event. I authorize that the Directors can use event media material on print advertising and/or online. I authorize that the Directors can act for me in their best judgment in an emergency situation requiring medical attention. I release, waive, discharge, indemnify and covenant not to sue the Camp Directors (Andrew Haas and/or staff members), any camp staff/personnel. I understand that signing this agreement safeguards the aforementioned persons from all action, suits, and demands whatsoever in law or in equity from demand losses or damages on account of injury (including death) caused in whole or in part by the negligence of the releasee or otherwise, either before, during, or after participation in the program. I understand that should an emergency situation arise, I will be contacted during the medical exam. If I am not available, I authorize you to contact: *
Your answer
Phone: *
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Parent / Guardian Signature *
Your answer
Date *
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