Ouachita Baptist University 2016 Women's Soccer ID Camp ...

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Ouachita Baptist University 2016 Women’s Soccer ID Camp Registration Form June 25,2016 Name (of participant): ______________________________________________________________________ Address:_____________________________________________________________________________________________________________ City: ________________________ State: ____ Zip: __________DOB: ____________Graduation Year: ______ Position(s): ______________________________________________ Email: _______________________________________

We, (or I) hereby request that you accept this document for the 2015 OBU Women’s Soccer ID Camp, and in consideration of your acceptance of this document, we will (or I) hereby release the Board of Trustees of Ouachita Baptist University, for the benefit of OBU, and all of its employees from all claims on account of any injuries which may be sustained by our (or my) minor child as a result of the camp. If medical attention is required for injury or illness while at camp, I give my permission for such medical care. We (I) also grant permission for the OBU Tigers Soccer ID Camp to use any photographs obtained of our child for commercial purposes.

Player Signature or Parent Signature, if under 18 ___________________________________________ Date__________________________ *A confirmation email will be sent upon receipt of your registration. Camp is limited to 60 players For questions please contact Head Women’s Soccer Coach Kevin Wright Office 870.245.5187 [email protected]

Please return the above Registration Form and camp fee by June 15, 2016 Ouachita Baptist University ATTN: Kevin Wright 410 Ouachita Street Box 3666 Arkadelphia, AR 71998