Summer Camp Individual Player Registration

Bedford Soccer Camp July 15- July 19

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Description: 
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 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

Please see the Parent Camp Packet for the full refund policy. 

 Contact Info