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Christmas Camp Phoenix 2016 / Sign Up for Group One

Early Bird registration is not available online, please print the registration form and mail it with the payment to our office:

FC PHOENIX
3637 E. Sunnnyside Dr.
Phoenix, Az 85028

Phoenix football Camp 2016 Registration Form

 

print a copy of Registration Form and return to:

"FC Phoenix LLC"
3637 E. Sunnyside Dr.
Phoenix Arizona 85028,
USA

Pay online using PayPal, or send check with your payment payable to "FC Phoenix" on above address.

IMPORTANT NOTICE & WAIVER

Registration will not be processed without full payment. Receipt of such payment certifies that the applicant (applicant’s parent/guardian) has read and understands the Football Camp Phoenix policies in regard to medical attention, liability, medical expenses, personal items, refunds and cancellations and that a parent/guardian signature will accompany the Football Camp Phoenix registration form attesting thereto.

Agreement

I, the parent /guardian of the below-named player, a minor, agree that I and the player will abide by the rules and regulation of the Football Camp Phoenix, Arizona. In consideration of the players participation in the soccer programs and activities of the FC Phoenix Parties, I, for myself and player and our respective heirs, administrators and successors, intending to be legally bound, hereby release and indemnify the FC Phoenix parties, the owners and operators of the facilities used for the Programs, and their respective directors, coaches, trainers, employees, agents, and representatives from and against all claims, liabilities, damages or causes of action arising out of or in connection with the players participation in the Programs including, without limitation, players transportation to/from and Program, which transportation is hereby authorized. I further grant the FC Phoenix Parties right to use the players name, picture and/or likeness in printed, broadcast and other material concerning the Programs provided such use is related to the players status as a participant in the Programs.
Also, hereby I confirm all provided info to be correct.

Consent of Medical Treatment

As the parent of legal guardian of the above named player, I hereby give consent for emergency. Medical care prescribed by a duly licensed Doctor of Medicine or Doctor of dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well being of my dependant.


On the FC Partizan stadium.
Don’t tell nobody, they let us
walk on the field!
2010 June Belgrade

DISCLAIMER

The FC PHOENIX AZ will not be held responsible for any reason which may affect the camp format. In the event of camp cancellation due to acts of God, inclement weather, or other reasons beyond the control of the FC PHOENIX AZ, camp fees will not be refunded.

Group One Sign Up


Player Info

Name of Player
Age DOB
Team Player Email
Parents Email
Street Address
City Zip
State  
 
Home phone Work phone
Cell phone  
 
Total amount $100
 

Please read carefully the Important Notice& Waiver displayed on this page before signing this application.

Hereby, I CONFIRM of reading and understanding in full, Important Notice and Waiver announced by FC Phoenix LLC.

Parent/Guardian Info

I am: Mother
Father
Legal guardian
Name Phone
City Zip
List any medical problems or prohibition of player

please type in "x" or "none" if no info needed
Person to notify in emergency Phone
Doctor to notify in emergency Phone
Health Insurance Company name Group/Policy number
 

Please read carefully the Important Notice& Waiver displayed on this page before signing this application.
Hereby, I GIVE CONSENT for emergency.

 

* every field is obligatory

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