Orange and Black Soccer camp registration

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Registration for Senior High Soccer Camp (Billings Soccer Hotshots) *******You can make checks payable to Billings Soccer Hotshots****** Please bring payment to first day of camp OR you can send it in the mail to Senior High CC Steph Wagner

Email *

Childs First Name: *

Childs Last Name *

Childs Age: *

Parents Name (First, Last) *

Emergency Phone Number (parents number) *

Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe. *

Is the athlete prescribed an inhaler? If yes, please explain any instructions. *

I hereby give my approval for my child’s participation in any and all activities prepared by Billings Soccer Hotshots LLC during the selected camp. In exchange for the acceptance of said child’s candidacy by Billings Soccer Hotshots LLC ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Billings Soccer Hotshots LLC . and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.In case of injury to said child, I hereby waive all claims against {Organization} . including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including Soccer. BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE. Please sign below: *

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