Player Registration

USSSA W.I.N. National Camp

Option:  

Required  Price: 
Description: 
 = Required Field

 Player Information

 
 
 
 
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  AGE GROUP ('18-'19) 
                    
 
 
 
 
 
 School ('18-'19): 
 Grad. Date: 
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 Player Parents: 
 Player Email: 
 Emergency Contact 
 Emergency # 
Comments 

 Parent/Guardian Release

I hereby release, discharge and indemnify USSSA, U.S. Soccer, Staff and, their agents and employees, USSSA, and U.S. Soccer, all owners and operators of facilities used for events, and all directors, coaches, employees, agents and representatives from all claims, liabilities, damages or causes of actions arising from any connection with my child's participation in all programs.

My child has received a physical examination by a physician and has been passed healthy and capable of participating in all programs. I recognize the possibility of physical injury associated with soccer and I hereby give my consent to medical treatment by an athletic trainer and/or doctor of medicine and/or dentistry. Any cancellation 14 days prior to the start of camp will result in a full refund minus administrative fees, after this time there will be a larger reduction in refund due to program costs associated with camp. Refunds will be issued at the conclusion of camp.

Every effort will be made for any cancellation after the start of camp, delay, missed training sessions resulting from circumstances beyond the control of USSSA, U.S. Soccer. Due to the window of time and schedule it may result in sessions not being made up. I have read the above and understand that I/we have given up substantial rights by signing this release at our own freewill.

 Approval Signature   

 CONTACT INFORMATION

GUARDIAN #1

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

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

 Refund Policy

All refunds will be minus an administrative fee. Refunds issued after January 4 will be minus any program fees which are associated with the players original registration.

All refunds will be issued at the conclusion of the camp.

 Contact Info