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◉ Athlete Name (First Last)
◉ Grade
K/ Kindergarten
1st/2nd Grade
3rd/4th Grade
5th/6th Grade
Middle School
High School
Other
◉ Has your child had any soccer experience?
Yes
No
Some
◉ If they currently play in a league or school team, please tell us where they play.
◉ For current players needing skills development, please tell us a little about what they hope to work on.
◉ Parent (1) Name (First Last)
◉ Parent (1) Mobile Phone Number
◉ Parent (1) Email
◉ Parent (2) Name (First Last)
◉ Parent (2) Mobile Phone Number
◉ Parent (2) Email
◉ Permission to photograph? (for promotional purpose and to share with you)
Yes
No
◉ How did you hear about us?
Through a friend tell us who to thank in "other" box.
Pallens board or event
Mission Hills advertisement/website
Other
◉ For best results, we require a 4 month commitment. By clicking below, you are attesting that you will commit to a 4 month term. Early termination is subject to a penalty.
I Agree
◉ Liability Waiver
Being aware of my Son/Daughter's health and physical condition, and having knowledge that participation in any exercise/soccer program may be injurious to my kids health, I am voluntarily having my child participate in this physical activity.
Having such knowledge, I hereby acknowledge this releases VISION SPORTS L.L.C, Mission Hills School and all of its Soccer program employees from liability of any accidental injuries or illness which your child may incur as a result of participating in this Soccer program physical activity. I hereby assume all risks connected therewith and consent to participate in this Soccer program.
I agree to disclose any physical limitations, disabilities, ailments or impairments which may affect their play in this Soccer program.
I agree and release liability
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