HC Soccer Camp Registration Form (HCHS Camp)

HARRIS COUNTY SOCCER CAMP REGISTRATION FORM

Hosted by Harris County High School/Coach Kinsey
DATES: June 16th - 18th

TIME: 6:00pm - 8:00pm

Location: HCHS Indoor Training Facility

Open: rising 3rd - 7th Graders

COST: $100

All players are required to arrive properly dressed for soccer training (shorts, socks, cleats, shin-guards)

Training faciliatated by Harris County High School Soccer Team / Coach Kinsey
Athlete Information
Athlete's Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender

MaleFemale
Parent/Guardian Information
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Home Number

Area CodePhone Number
E-mail*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by the Harris County Soccer Association Summer Camp during the selected camp. In exchange for the acceptance of said child’s candidacy by the Harris County Soccer Association Summer Camp, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless the Harris County Soccer Association Summer Camp and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against the Harris County Soccer Association Summer Camp , including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including soccer. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Consent*

I Agree
Confirmation

By agreeing to the above and submitting this form, I am delivering an electronic signature that is equivalent to an original manual paper signature. the electronic signature will be equally as binding as an original manual paper signature.

Payment*

HC Soccer Summer Camp 2025 (Host: HCHS)$100.00

Total $0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Afterpay

Should be Empty:

HARRIS COUNTY SOCCER CAMP REGISTRATION FORM

Payment Methods