2019 Firestone Boys Soccer Camp
Dates: Monday July 8th, 9th ,10th
Location: Hiram College
Cost $200
Need based scholarships are available. Please contact Mark Schwerdtfeger (mark.schwerdtfeger@yahoo.com) directly to discuss your scholarship requirements.
If you have multiple children please sign up each child individually.
Payment method information will be provided shortly.
Name of Participant *
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Please Read and Acknowledge Waiver
I hereby authorize any medical treatment and transportation deemed necessary to receive that treatment which may be advised or recommended by attending medical personnel for player named above while at the Firestone Pre-Season Soccer Camp. I also authorize the said camper to participate in the activities of the camp, to include the specific sport activities and recreational activities conducted at the camp. I understand that the camper will engage in physical activities during the program, which contain an inherent risk of physical injury, and I assume the risk, and release Firestone Pre-Season Soccer Camp, and any agents of Firestone Pre-Season Soccer Camp, Hiram College and the Soccer Booster Club from any and all liability for personal injury arising out of the camper’s participation in the camp program. I also understand that the camper is responsible for all personal belongings and equipment and that the Firestone Soccer Team, Hiram College and/or Booster Club will not replace or reimburse any lost or stolen items.
Parent or Guardian *
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Emergency Contact 1 *
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Emergency Contact 1 Phone *
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Emergency Contact 2
Your answer
Emergency Contact 2 Phone
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