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Soccer Camp Registration
Register for 2/19/24 Soccer Camp with Rebel76
Parent - First name
Parent - Last name
Email
*
Phone
Child - First name
Child - Last name
Child Age
Division/Grade
FaciIity Waiver: In consideration of permission to use, today and on all future dates, the property, facilities, equipment and services of THE FIELDHOUSE including but not limited to the equipment, fields, facilities, and batting cages, whether owned or leased, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue THE FIELDHOUSE, its directors, officers, employees, and agents from liability from any and all claims including the negligence of resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation at such facilities.
I consent to the reproduction, use and distribution of pictures, videos, and sound for the purposes of promotion and advertising to be used in electronic, print, and internet media.
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Thanks for registering to our event. See you there!
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