Individual Player Registration

Saint Anselm College Overnight Soccer/Futsal Camp July 14-18

    
1Complete Form

Option:  

Required  Price: 
Description: 
 = Required Field

 

 
 
 
 
  Select Month/Day/Year
 
 
 
 
 
 Grade ('24-'25): 
 Preferred Roommate: 
 Emergency Contact 
 Emergency # 
Comments 
 How did you hear about us? 


 Approvals

I hereby certify that the above-mentioned participant is in good health and fully able to participate in all the activities of Brazilian Art Soccer Training. I agree that Brazilian Art Soccer Training and their Directors and Trainers will not be held responsible for any accident or loss to the participant however caused and hereby release Brazilian Art Soccer Training from all claims or damages which may arise from any accident or loss. I understand that every effort will be made to contact me in the event of an emergency requiring medical attention for my child. However; if I cannot be reached I hereby authorize Brazilian Art Soccer to act on my behalf should any emergency arise, and hereby grant permission to said administrators to authorize medical attention recommended by a physician, nurse, or hospital, and if needed to transport my child to a nearby hospital for necessary medical treatment. I understand the staff members of Brazilian Art Soccer are trained in the basics of First Aid and I authorize them to give my child first aid when appropriate.
I hereby grant to Brazilian Art Soccer the right to use and publish photographs taken during the camp, clinic, or other training session of the above-mentioned Participant for editorial, advertising and web use.

 CONTACT INFORMATION

GUARDIAN #1

 
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 
GUARDIAN #2 (optional)

 
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 

 Refund Policy

Refunds will be given if requested 2 weeks prior to the start of the camp.  Request for refunds within 2 weeks of the camp will result in a $150 administrative fee and requests for refunds within the final week will not be refunded.  

 Contact Info