Soccer Player Registration Form
August 6 2022 at Campbell Green Park
Player Full Name
*
Date of birth
*
/
Month
/
Day
Year
Date
Email Address
*
example@example.com
Phone number
*
Format: (000) 000-0000.
Select Team
Please Select
Ivorian Veterans
Ivorian Youngsters
Please Read Carefully Disclaimer and Sign if agree: I, the undersigned participant (and my parent or guardian if I am younger than 18 years of age), intending to be legally bound, do hereby forever release and waive any and all rights, claims, and actions for damages that we, our heirs, executors, administrators, and assigns may have, or that may hereafter accrue against any and all persons, organizations, and other entities associated with the event, including but not limited to Smart Chill organization. The Smart Chill family, volunteers, and individual event organizers, arising out of or in connection with my involvement before, during, or after the Miles for Smart Chill Summer event. I verify that I am physically fit and sufficiently trained to participate in this event. I assume the risks involved in this activity. I further attest that I will be mindful at the Campbell Green Park, and hold said sponsors and organizers blameless in any harm that may happen. I also give my permission for the free use of my name and/or pictures in telecasts, broadcasts, newspapers, posters, advertising, etc. I also understand that theentry fees are non-refundable.
My Products
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Tournament Ticket
Purchase this to enroll in tournament
$10.59
$
10.59
Quantity
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Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
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Expiration Year
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