Tulsa Roughnecks FC Juniors Camp -August 1, 2016 6:00-7:30pm @ Holland Hall
As the affiliate to Tulsa Roughnecks FC, this camp is FREE to ALL TSCH Juniors Players. Please RSVP using this form.
Player Name
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First Name
Last Name
PARENT CONTACT
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First Name
Last Name
E-mail
*
Phone Number (in case of emergency)
*
-
Area Code
Phone Number
Birth Year of Player
*
2011
2010
2009
2008
2007
2006
Gender
*
Boy
Girl
Coach Name
*
Your registration and complete payment is an acknowledgement and agreement to the following liability release: This registered soccer player has been granted permission to attend and participate in and with this camp sponsored by TSC Hurricane and Tulsa Roughnecks FC. In exchange for the privilege of the player participating in these activities, I waive any legal claim against those associated with these soccer activities in the event the player is injured while participating in these soccer activities, and travel to and from the same. I hereby give my consent, in case of injury, to have an athletic trainer, medical doctor, nurse, hospital or clinic to provide the player with medical assistance and/or treatment, and agree to be responsible financially for the reasonable cost of such assistance and/or treatment.
*
I accept
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