Lady Wolves Soccer Camp
Email address *
Camp Dates: June 3-6; 6-8 pm
Cost: $50, includes t-shirt and daily snack
Location: Barron Stadium
Athlete's First Name *
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Athlete's Last Name *
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Date of Birth *
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Grade for 2019 *
What School do you attend? *
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Parent/Guardian Name: *
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Parent/Guardian Email: *
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Parent/Guardian Phone Number: *
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Shirt Size: *
Release of liability:
I recognize that there are inherent risks involved in this activity. I hereby release and hold harmless this Rome Athletics Program/Rome City Schools for injuries including those resulting in death and illness occurred while attending camp or as a result of attending camp. I certify that my child is in good health and able to participate in all activities. I have made the coaching staff aware of any previous medical conditions for my child. I will pay for any medical services rendered.
Parent Signature: *
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