FALL SEASON 2020 - Soccer School

Welcome to Brazilian Soccer Club

Join our Soccer School Season 2020
October29th - December 19th



CHILD INFORMATION
PROGRAM INFORMATION
ALL PAYMENTS ARE IN DOLLAR CASH
PARENT/GUARDIAN #1
MEDICAL/EMERGENCY CONTACT INFORMATION
WAIVER INFORMATION
*** The undersigned states that he/she understands that the US military and Brazilian Soccer Club organization, is not and shall not be responsible for or liable for any illness or injury to person or damage to property resulting from the program in which the participant is enrolling or being enrolled or from his/her participating in said program. The participant, the undersigned, if the participant is a minor or under other legal disability, hereby forever releases and holds harmless the said Brazilian Soccer Club, its employees, agents and representatives from any and all claims of any kind that the participant or the undersigned, or their respective heirs, executors, administrators or assigns may have or claim to have resulting from participation in said program. Also, the undersigned and the participant authorize the Brazilian Soccer Club to use at its discretion any photographs or videotape(s) taken of the participant while participating in the program and waive any and all claims that the participant or the undersigned or their heirs, executors, administrators, or assigns may have or claim to have resulting from such photograph(s) or video tapes. I HAVE READ AND UNDERSTAND THE WAIVER STATEMENT, THE REGISTRATION INFORMATION AND THE REGISTRATION IS NOT VALID WITHOUT A SIGNATURE ***
Signature:
Date:
 

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