1010 Biz Johnson Dr
Marysville, CA 95901
Email*
First name*
Last name*
Country*
State*
Child's name*
I acknowledge and agree to the following*
The participant agrees to release the academy staff, and other parties from any liability for injuries, illnesses, or other losses that may occur during the academy
The participant acknowledges that playing soccer is a potentially hazardous activity and assumes the risk of injuries that may occur.
The participant certifies that they are physically fit and able to participate in the academy..
The participant certifies that they have been examined by a medical professional prior to attending the academy.
The participant gives permission for camp staff to provide preliminary treatment or arrange transportation to the emergency room if needed.
The participant may authorize their photograph, voice, or likeness to be used in any promotional or media coverage of the camp.