Kosa Soccer Camp Sign Up
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Child's Name *
Child's Birth Date *
Gender *
Parent/Guardian Name *
Phone Number *
Email *
Shirt Size (Youth) *
Short Size (Youth) *
Doctor's Name *
Doctor's Phone Number *
Medical Concerns *
Waiver
I Hereby release Kickoff Soccer Academy From all liability, claims, demands, losses or damages on my account caused or alleged to be caused in whole or in part by the negligence of the "releasees" or otherwise, including negligent rescue operations and I further agree that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement I, or anyone on my behalf makes a claim against any of the releases, I will indemnify, save and hold harmless each of the releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such claim. I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it and have signed it freely and without inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.
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