Kolping Youth Development - 2025 Summer Camp
Kolping Kicks Soccer Club - 4680 Meramec Bottom Road June 9th - June 12th (8 am-11 am) Birth Years: 2014 - 2020 *must be four years old to attend
Player's Name
*
Player's Birthdate (mm/dd/yyyy)
*
Select a t-shirt size for your player
*
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Guardian Name
*
Guardian Phone Number
*
(xxx) xxx-xxxx
Guardian Email
*
abc@gmail.com
WAIVER, RELEASE OF LIABILITY & ASSUMPTION OF RISK: I certify that my child is physically fit to engage in soccer activities with no other medical condition preventing participation. I accept that participating in the sport of soccer comes with inherent risks of physical injury including permanent disability, paralysis & death. I give consent for emergency treatment to preserve life, limb or well being. I agree that my child participates or spectates entirely at their own risk and agree that if at any time, I believe conditions to be unsafe, that I will discontinue my child's participation immediately. I consent to this soccer clinic to use photography or film footage which may include my child's image to be used solely for the promotion of the company. I hereby release and forever discharge this soccer clinic's staff, its owners, staff and field owners for any liability for any and all property damage and physical injury, and waive any and all rights, claims or causes of action including medical claims arising out of my child's participation in this activity. I certify that I have fully read this waiver and release of liability and assumption of risk, fully understand its terms and signed freely. I agree that if any portion of this agreement is to be held invalid, the balance shall continue in full force and effect. This waiver and release of liability and assumption of risk shall remain in effect for the duration of my child's participation and for any subsequent participation.*
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KYD 2025 Summer Camp
4 days of 3-hour training & t-shirt
$
130.00
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