FRAGA ELITE SOCCER - Registration Form 2024 SUMMER SOCCER June/July, AGES 8

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FRAGA ELITE SOCCER - Registration Form 2024 SUMMER SOCCER June/July, AGES 8 - 17 Location: Gulf Breeze Rec Center

Email *

I hereby release my son/daughter/self to play a sporting activity with Coach Fraga DaRosa, and will not hold Fraga Elite Soccer, Coach Fraga DaRosa, nor GB Rec Center or St Ann Catholic or any Venues used liable for any injuries *

Hold Harmless Release from injury liability for Fraga Elite Soccer.

YES

I hereby release my son/daughter/self to be Photographed or Videoed during training, and have understanding they may appear on our social media page: *

YES

Name of Player *

DOB / YRS OF EXPERIENCE *

AGE OF PLAYER (at start of Camp)

TRAINING T-SHIRT SIZE (depends on stock) *

YOUTH MEDIUM

YOUTH LARGE

YOUTH XL

ADULT SMALL

ADULT MEDIUM

Name of Parent *

Contact PHONE NUMBER *

Allergies or Medical Conditions:

Please pay via Paypal at site or enter the check amount & ck # here: *

Please: Checks payable to Fraga Elite Soccer, Subject line: players name. Mail to 6847 Rickwood Dr Pens. FL 32526

Which 2024 SUMMER SOCCER PROGRAM are you registering for: *

JUNE 20-28 TOP SKILLZ "A" - Age 8-10 at 5:30

JUNE 20-28 TOP SKILLZ "A" - Age 11-13 at 6:45

JULY 18-26 TOP SKILLZ "B" - Age 8-10 at 5:30

JULY 18-26 TOP SKILLZ "B" - Age 11-13 AT 6:45

TEEN "SHARP SHOOTERS" Pre-season Dev - July 29/30, 7 - 9pm

Required

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By clicking the “Submit” button, I am attaching my electronic signature to and agreeing to the Fraga Elite Soccer LLC. Terms of Service Agreement; I agree to immediately paying for services via Paypal or Check by mail; I understand that if I do not agree to these terms of use, payment policy and privacy statements, I should refrain from using Fraga Elite Soccer.

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