28 F.C. Soccer Clinics
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Child's Name
Parent/Guardian Name
Child's Age
Emergency Contact Number
Email
Name of school
Will your child be picked up by parent/guardian, or travel alone?
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As the parent/guardian of the above-named child, I grant permission for 28 F.C. and the Boys and Girls Clubs of Boston to use any photographs taken of the above-named child at the Soccer/Academic Clinics for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. No payment shall be made by 28 F.C. and the Boys and Girls Club of Boston for these photos, and I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
As the parent/guardian of the above-named child, I do not grant permission for 28 F.C. and the Boys and Girls Clubs of Boston to use any photographs taken of the above-named child at the Soccer/Academic Clinics.
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By checking this box you agree for your child to participate in BGCB 28 F.C. soccer/tutoring clinic.
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