2019 Girls' High School Soccer Academy
Email address *
Olathe Northwest High School
Monday, June 17th - Thursday, June 20th
6:00-8:00 pm
Last Name *
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First Name *
Your answer
Address *
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Home Number *
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Cell Number *
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High School *
Required
2019-2020 Grade *
Required
T-Shirt Size *
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Payment *
WAIVER STATEMENT: The undersigned states that He/She understands that the High School Academy run by Kansas Soccer Solutions is not and shall not be responsible for or liable for any illness, or injury to person or damage to property resulting from participating in said program, and the participant and the undersigned, if the participant is a minor or under legal disability, hereby forever release and holds harmless the said High School Academy, its employees, agents and representatives from any and all claims of any kind that the participant, or the undersigned or their respective heirs, executors, administrators, or assigns may have or claim to have resulting from participating in said program. *
Please type your name (parent/guardian if under 18) in the box below. This will represent your signature reflecting your acknowledgement and acceptance of the above statement. If a name is not included, registration is not complete.
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