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Technical & Tactical Soccer Clinics Individual Application
Name: Age: Birth Date: Sex: M F
Email Address: Phone:
Parents:
Address: City: State: Zip:
Soccer Experience:
Select Shirt Size: Kelme Soccer Balls - $15 each (optional): Size 4 Size 5
Camp Selection: (click here to see schedule)
If registering individually for a group, please list your Current Coach or Team Name:

Waiver/Release Form

By typing my name below and submitting this online form, I hereby authorize the directors of the T & T Soccer Clinics to act for me according to their best judgement in any emergency requiring medical attention. I waive and release the camp and camp directors and employees from any injuries and/or illness incurred in this program.

Parent/Guardian Signature:

Payment is required with registration, additional $15 with be added for each ball ordered. Click "Next" to submit form and make payment. Total Payment due is: $