Glory Jr's Soccer Clinic Participant Registration

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Please complete this form to have your child attend the Utah Glory FREE soccer clinic.

Email *

Join us for a FREE Glory Jrs Soccer Clinic

July 13th 2022
6:15pm Check-in
6:30-7:15pm Skills Camp

Marv Jensen Park 10300 S Redwood Road (behind the Aquatics Academy), South Jordan, UT 84095
Bring a friend or family member! This free clinic is for current and new players, Boys and Girls born 2015-2018.
Wear comfortable soccer clothing, shin guards and soccer cleats. Bring your own water and be sure to label it clearly.

This form MUST be filled out by the players Parent or Legal Guardian.

Player's Last Name *

Player's First Name *

Player's Birth Year *

2014

2015

2016

2017

2018

Required

Parent / Guardian Name *

Parent / Guardian Phone (PRIMARY) *

use "123-456-7890" format

Does the player have any physical or medical conditions that we should know about? *

Yes

Required

IF YES, Please describe any physical or medical conditions:

How did you hear about Utah Glory Soccer?

Parental / Guardian Consent

I, as the listed parent/guardian of the player listed on this form, give permission for my child, a minor, to participate in the tryouts for the Utah Glory Soccer Club. I, on the behalf of myself and my player listed on this form, release and indemnify Utah Glory Soccer Club, its employees and other personnel against any claims, damages, or liabilities brought on as a result of the player’s participation in the Utah Glory Soccer Club tryouts. I also grant my authorization and consent for Utah Glory Soccer Club personnel to administer general first aid treatment for any minor injuries or illnesses experienced by the minor. If the injury or illness is life threatening or in need of emergency treatment, I authorize the personnel of Utah Glory Soccer Club to summon any and all professional emergency personnel to attend, transport, and treat the participant.

Agreement *

By selecting this check box, I agree to the above terms

Required

Thank you for registering your player! Please note the day and time of the clinic, you will not receive a reminder email after submitting.

A copy of your responses will be emailed to the address you provided.

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