JUNIOR STARZ INTRAMURAL PROGRAM
SPRING JUNIOR STARZ PROGRAM SCHEDULE

Dates: 4/25, 5/2, 5/9, 5/16, 5/23


U5 Coed | Ages Group 4 & 5

U6 Coed | Age Groups 5 & 6

U8 Coed | Age Group 7 & 8

U10 Coed | Age Group 9 & 10


Program Time: TBD (Saturday)

Location: Bartlett High School | 52 Lake Parkway, Webster, MA
Player's Name *
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Date of Birth *
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/
DD
/
YYYY
Gender *
Birth Year Team *
Returning Player or New Player? *
Returning Players ONLY**Jersey Color**
New Players ONLY**Jersey Size**
City / Town *
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State *
Your answer
Parent/Guardian Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Waiver of Liability and Release
By signing your full name, as the Parent/Legal Guardian of the Participant, you acknowledge reading and accepting the
Waiver of Liability and Release.

As the parent or legal guardian of the above named Participant, a minor, I understand the inherent risk of injury when participating in sports activities, and I hereby release, hold harmless, and forever discharge the Young Starz Soccer, its coaches, volunteers, principals, employees, and agents (the "Releases"), and each of them, from any and all injuries, damages, claims, demands, causes of action, judgments, and liabilities, in law or in equity, however arising, known or unknown, now and in the future and to the fullest extent permitted by law, against the Releases and which may arise out of or as a result of the named Participant's participation in sports activities, including their transportation from and to the location of soccer activities, which transportation and participation I hereby authorize.

Photo Consent and Release Form
I grant to Young Starz Soccer, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize Young Starz Soccer, its assigns and transferees to copyright, use and publish the same in print and/or electronically.
I agree that Young Starz Soccer may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
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