POP UP CLINICS

Join us for a FREE soccer pop-up clinic for boys and girls ages 3 - 13 on 7/29/23
LOCATION: WELCOME ALL PARK
TIME: 11:30AM - 12:30PM
CAPACITY: 50 PARTICIPANTS
*Must complete the registration form below to participate.
** Wear black short, red t-shirt, tall socks, shin guards/soccer cleats are preferred but tennis shoes are acceptable.
Please email: championsfootballacademyfc@gmail.com with questions.

* Indicates required field

Player Name *

First

Last

Birthdate *

Gender *

EMAIL *

School *

Health conditions *

** I HEREBY AUTHORIZE MY CHILD TO PARTICIPATE IN THE CHAMPIONS FOOTBALL PROGRAM AND I ASSUME ALL RISK AND HAZARDS INCIDENT TO SUCH PARTICIPATION, INCLUDING TRANSPORTATION TO AND FROM SAID ACTIVITIES, WAIVE, RELEASE, ABSOLVE, INDEMNIFY AND AGREE TO HOLD HARMLESS CHAMPIONS FOOTBALL ACADEMY, ITS AFFILIATES, THE ORGANIZERS, SUPERVISORS, OFFICERS, DIRECTORS, PARTICIPANTS AND PERSONS OR PARENTS SUPERVISING OR TRANSPORTING PARTICIPANTS FROM SUCH ACTIVITIES FROM ANY CLAIMS ARISING OUT OF INJURY TO MY CHILD. THE UNDERSIGNED AGREES THAT THEIR LIKENESS, OR THE LIKENESS OF THEIR CHILD MAY BE PHOTOGRAPHED OR VIDEOTAPED AND THAT SUCH IMAGE MAY BE PUBLISHED IN AN OUTLET USED TO PROMOTE OR PUBLICIZE THE SPORTS PROGRAM. **

SIGNATURE *

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