Girl's/ Women's Soccer/Volleyball

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Did you make a payment? *

Yes

Age of person filling application *

Contact of person filling application (phone number) *

Please list the first and last name of players and their ages *

I understand that Masjid Al Salam or coaches are not liable for any injury that may occur while participating in sports activities. And I will not hold them liable for any injury that occurs.

I understand that I am required to chaperone my child who is less then 15 years old. *

Yes

If you are less then 18 years old, you must get the consent of your parent or guardian. Please share their contact info bellow *

how tall is your child/children? *

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