AP2T Speed & Agility Training: Summer 2019
Four week training program (July 1st - 31st)
Two sessions/week
Mondays & Wednesdays
60 minute sessions with CTR Soccer
2012-2010 Birth Year: 5pm-6pm
2009-2006 Birth Year: 6pm-7pm
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Player LAST NAME *
Player FIRST NAME *
Player BIRTH YEAR *
Player GENDER *
Parent E-MAIL #1 *
Parent E-MAIL #2
Parent CELL PHONE #1 *
Parent CELL PHONE #2
Allergies or Medical Conditions? *
Preferred TEE SHIRT SIZE
محو التحديد
CTR Waiver for Acknowledgment *
I acknowledge that my son/daughter will participate in activities that may involve, among other things, physical contact with other persons/objects, including the ground and may include risk of injury. I specifically waive, give up and release CTR Soccer, AP2T, its staff and agents, from any liability for any claim of damages, which my son/daughter may sustain. In signing this waiver, I certify that my son/daughter is in good health, with no chronic illnesses or abnormal tendencies. I authorize CTR Soccer and AP2T to act for me and obtain whatever medical, surgical, or dental examination, diagnosis and/or treatment is deemed necessary. I am also agreeing that I have made arrangements, through insurance or otherwise, for payment of medical bills which may be incurred if my child sustains any injuries while playing or participating in any activity. Accordingly, I waive all claims against CTR Soccer, AP2T or its staff and agents for reimbursement of medical bills and damages sustained on account of any injury, which may occur to my son/daughter. CTR Soccer, AP2T and its agents or staff are not responsible for any personal belongs which are lost, stolen, or damaged. I agree to have all camp/clinic/class fees paid in full prior to the start of the activity and have read and agree to all rules and understandings.
Payment Method *
إرسال
محو النموذج
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