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August 5 to 09 for 7-9 year olds - August 19 to 23 for 9 - 12 year olds
Summer Camp Form
Child’s Name:
Date of Birth
Child’s Gender
Boy
Girl
Parent / Guardian Names
Address and Postal Code
Phone Numbers
Email
Week
Aug 05 - 09 (7-9 year old)
Aug 19 - 23 (9-12 year old)
Registration Cost: $350
Date Paid
Emergency Contact Name
Emergency Contact Phone Number
Medical Concerns or Allergies
Please read and sign the Waiver Below.
I hereby for myself, my heirs, executors, administrators and sponsors waive and release all rights and claims that may arise against the RDT – Mini Soccer League. I waive and release its affiliated associations, sponsors, agents, or representatives, for any and all injuries or losses suffered while competing in or connection with the leagues and programs of the RDT-Mini Soccer League. Pictures of the sessions may be taken during the season; These pictures may be used on our website or promotional materials.
Waiver Signature:
Date
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