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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.
2011 July Africa