2018 Marcus Boys Soccer Camp
Kids name (last, first) *
Parent 1 Email *
Parent 2 Email
Age at camp start *
Grade entering 2018-19 school year *
School the student attends
Parent contact *
Phone Number *
Child shirt size *
Payment *
Please send payment to Chad Rakestraw 805 Kingwood Court, Highland Village, TX 75077
LIABILITY RELEASE: I hereby release Lewisville ISD, the Marcus Soccer Camp and all its staff and employees of any liability in case of an accident on Marcus HS property during the course of the above-mentioned camp. I also give the Marcus Soccer Camp Staff permission to obtain medical care from any licensed physician, medical provider, hospital or medical clinic for the player named herein at such a time as either parent/guardian cannot be contacted.
Parent Electronic Signature *
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