Jako USA

 

KNVB

 
Glenelg Country Registration

 

HS Prep camp

 

6pm-8.45pm, Sunday August 10 till Wednesday August 13 @ Glenelg Country School Athletic Fields.

                                                                                                                                                          

First Name*
Last Name*
Grade*
Travel Soccer Club (if applicable)
T-Shirt Size
Email Address*
Cell Phone*
Parent / Guardian Name*
By accepting, I, the parent or legal guardian of the player listed above, ask that he/she be admitted to participate in the Dutch Soccer School Camp (the "Program") held by Dutch Soccer School. I understand the risks and hazards associated with my child's participation in the Program and certify that my child is in good health and give my permission for his/her participation in the program. I authorize all emergency and medical treatment which may be needed in the event of any injury. I also understand that primary insurance coverage is my own responsibility. In consideration of such admission, I do hereby agree to release, discharge, and hold harmless Dutch Soccer School and each of their coaches,officers, agents, and employees of and from all causes, liabilities, damages, claims, or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor's attendance at the program or in the course of competition and/or activities held in connection with the Program
Submit
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