Excel Soccer Academy Fall Finishing Camp
Ages 13-17
Boys and Girls
When :   10/9/23, 10/10/23, 10/11/23
Time:   10:30am-12:30PM
Cost:     $95.00
Where:  Longview Elementary School
              1209 E. Indian School
              Phoenix, AZ 

Zelle Payment to 602-677-1960
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First Name *
Last Name *
Date of Birth *
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Gender *
Parents Name *
Email *
Telephone Number *
Current Soccer Club *
Photo Waiver: I do hereby give EXCEL SOCCER ACADEMY, its assigns, licensees, and legal representatives the irrevocable right to use my child's name, picture, portrait, or photograph in all forms and media and in all manners, including composite, for advertising, for publication or any other lawful purposes, and I waive any right to inspect or approve the finished product, including written copy, which may be created. *
Required
Parent/Guardian Consent Form:  I do hereby expressly assume all of the risks which attend the game of soccer and any other sports or related activities, including but not limited to physical contact and physical injuries.  I understand that soccer is a physically challenging sport and I understand that there are natural risks involved. I agree to indemnify and hold Excel Soccer Academy members including but not limited to any adjoining facilities from any and all claims, suits, or proceedings arising allegedly or in reality out of the acts of omission and participation of the undersigned in any or related activity. *
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