Mustang Soccer Summer Camp
June 3-6, 2024 | 8:30am - 11:30am
July 8-11, 2024 | 8:30 - 11:30am
Boys & girls, ages: 7-14
100 Mustang Way, Merritt Island (Mustang Stadium)
Questions: BoysVP@MImustangsoccer.com 
Sign in to Google to save your progress. Learn more
Email *
Athlete Last Name *
Athlete First Name *
Email *
Age *
Gender *
Does the athlete have any allergies, chronic illness, or medical conditions? Is athlete is prescribed an inhaler? If yes, please explain
Shirt Size - Only registrations paid by 5/15 can be guaranteed specified size. *
Emergency Contact & Phone Number *
Please list anyone else that's authorized to pick-up your child from camp
Form of Payment: *
Venmo Payment (Scan or click here to pay)   @MIHSSoccerBoosterClub
Informed Consent and Acknowledgement:
I hereby give my approval for my child’s participation in any and all activities prepared by Merritt Island High School (MIHS) Soccer Booster Club during the selected camp. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless MIHS Soccer Booster Club. and all its respective officers, agents, and representatives from any and all liability for injuries arising out of traveling to, participating in, or returning from selected camp sessions.
In case of injury, I hereby waive all claims against MIHS Soccer Booster Club. including all coaches and affiliates, all participants, sponsoring agencies, 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.

Medical Release and Authorization
As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional in the event of a medical emergency that requires immediate attention.
Permission is also granted to the MIHS Soccer Booster Club and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered camp.
This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances.
 *
Equipment needed: soccer cleats, shin guards (worn under soccer socks), soccer ball, water, and light snack.  
No hats or sunglasses can be worn on the field.
 *
Parent/Guardian typed name  *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of MIHS Soccer Booster Club. Report Abuse
Google Forms