Soccer Camp Waiver Form
Please fill out this waiver form to participate in the soccer camp.
Participant's Full Name
First Name
Last Name
Date of Birth
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Full Name (if participant is under 18)
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have any medical conditions or allergies that we should be aware of?
Participant Signature
*
Date Signed
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: