SOCCER CAMPS WITH PRO CONNECT COACHING: WAIVER OF ...
SOCCER CAMPS WITH PRO CONNECT COACHING: WAIVER OF LIABILITY: Pro Connect Coaching: 3806 Dunlap ST N, Arden Hills, MN, 55112
Player name ___________________________ Age ______ Current Club ____________________
Gender ______
Position ______________
Playing age summer 2015: U ____ Playing Level:
Premier ___ C1 ___ C2 ___ C3 ___
Parent name ______________________ Zip Code _________
Email Address
Maroon ___ Gold ____
Address ____________________________
______________________
Any Medical Conditions? _________________
Emergency Cell Number_____________
Waiver of Liability I understand and accept that whilst all reasonable care will be taken, neither “Pro Connect Coaching”, “Pegasus Soccer Coaching LLC,” or any personnel authorized, nor the venue “National sports center or pro connect coaching center” at which the course is being held, will be held responsible for any loss or injury suffered by or to t he applicant however caused.
Signature______________________
Date___________
Player name ___________________________ Age ______ Current Club ____________________
Gender ______
Position ______________
Playing age summer 2015: U ____ Playing Level:
Premier ___ C1 ___ C2 ___ C3 ___
Parent name ______________________ Zip Code _________
Email Address
Maroon ___ Gold ____
Address ____________________________
______________________
Any Medical Conditions? _________________
Emergency Cell Number_____________
Waiver of Liability I understand and accept that whilst all reasonable care will be taken, neither “Pro Connect Coaching”, “Pegasus Soccer Coaching LLC,” or any personnel authorized, nor the venue “National sports center or pro connect coaching center” at which the course is being held, will be held responsible for any loss or injury suffered by or to t he applicant however caused.
Signature______________________
Date___________
