SUMMER SKILLS FORM 2022  
Summer Skills Fee $100
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Player Name *
Player grade *
Parent Name *
Parent Phone Number *
Parent email *
High School Only Saturdays 10-11:30 *
Summer Session 2 - Times and Dates are subject to change.   *
Summer Session 3- Times and Dates are subject to change. *
Comments: Please provide JR with any information or questions you may have.
How do you intend to make payment? You can use QR code on webpage. *
I, the undersigned give permission for my child to participate in Johnson County Juniors. This authorization shall waive, release and resolve Johnson County Juniors and its staff from any and all liability from injury and or illness incurred. I give the staff permission to act on my behalf, according to their best judgment, in any emergency. I also certify that the above applicant has no physical problems or disabilities which would impede her from participating in Johnson County Juniors . Typing parent name below is your electronic signature. *
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