October Mid-Term Camp 2023
Welcome to our Mid-Term camp registration!  
October 23-27
Location: Academy Field 
Time: 9am - 12pm 
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Player First Name  *
Player Last Name *
Date of Birth (please double check year) *
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DD
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Age *
Parent Email *
Parent Name  *
Parent Cell Number  *
Additional Emergency Contact (Name & Number) *
Parent Waiver: The parent(s)/legal guardian(s) of the minor child listed above hereby voluntarily release, waive, relinquish and discharge ESM Ltd. and all affiliated organizations and their officers, coaches, athletes, directors, representatives, volunteers and agents from any and all liabilities, claims, suits, actions or causes of actions (whether anticipated or unanticipated) arising out of any and all actions, injuries, illness, death or damages of any nature incurred while participating in ESM Football Camps. The parent(s)/legal guardian(s) is solely responsible for providing for its own medical insurance for the players listed on this form and shall hold harmless ESM from any and all claims arising from their participation. The parent(s)/legal guardian(s) confirm an understanding of the inherent risks of football, and the current risks of Covid19. Signature also indicates permission for those use of photograph images taken during the camp for promotional purposes. *
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