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IMPORTANT:
  1. Copy and Paste this form to your E-mail
  2. Fill-Up all information
  3. Send to: soccersoccerca@yahoo.com

 
REGISTRATION FORM
 
Registering For (The Camp Name):
 
Camp Lunch (YES or NO):
 
Player First name:
 
Player Last name:
 
School:
 
Date of birth:
 
Age:
 
Height:
 
Mother name and GSM:
 
Father name and GSM:
 
Address:
 
City:
 
Post-Code:
 
Home telephone:
 
E-mail:
 
IN CASE OF EMERGENCY CONTACT
 
Name:
 
Telephone:
 
GSM:
 
MEDICAL / ALLERGIES, OTHER INFORMATIONS
 
Status:
 
Thank You And Have Fun !

All our programs runs under this rules:

 

1)   I hereby certify that my child has my permission to attend “SOCCER-SOCCER" Academy camp.

 

2)   If at any time emergency medical treatment is necessary for my child, I give my consent for treatment to be given.

 

3)   Every effort will be made to contact parent guardian.

 

4)   I hereby agree to release and indemnify "Soccer-Soccer" Academy, instructors and members from any actions claims, or injury that my occur.

 

5)     I hereby agree to use my own medical insurance for cower any injuries of my son/daughter during the training sessions in "Soccer-Soccer" camp.

 

6)   "Soccer-Soccer" Academy is not responsible for any loss or damage of personal property of any participants.

 

7)   Parents / guardian signature: 


_______________________________________ 

 
"GLOBALPRO"
Soccer-Soccer
Elite Football Academy
14 rue Andre Duchscher, L-1424 Luxembourg
 
Office: (352) 24 87 35 36
Fax: (352) 24 87 35 37
GSM: (352) 621 515 195