5/15/2008
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Summer Camps
Skillz Check 3v3 /team
Medical Release
Single Entry
Register Siblings
Group Registration
Single Entry
Register Siblings
Group Registration
Skillz Check 3v3
Team Registration
Date:
June 28-29, 2008
Location:
Hollis, NH
Field:
Nichols Field Complex
Cost:
160.00
IMPORTANT Information
You must Fill Out a
medical form
for each player on the team below.
Team Information:
Team Name:
maximum 6 players
Age Group:
Team Gender:
Male
Female
Co-Ed
Bracket:
REC
COMP
Manager/Coach Information:
First Name:
First Name:
Street Address:
Apartment:
City:
State:
Zip:
Phone 1:
Phone 2:
E-mail:
Players Information
Player1/Captain Information:
First Name:
Last Name:
Age:
Birthdate:
Gender:
M
F
T-shirt Size:
YS
YM
YL
S
M
L
XL
Str. Address:
Ap.:
City:
State:
Zip:
Phone:
Cell Phone:
E-mail:
Full Name of Parent or Legal Guardian:
Player2 Information:
First Name:
Last Name:
Age:
Birthdate:
Gender:
M
F
T-shirt Size:
YS
YM
YL
S
M
L
XL
Str. Address:
Ap.:
City:
State:
Zip:
Phone:
Cell Phone:
E-mail:
Full Name of Parent or Legal Guardian:
Player3 Information:
First Name:
Last Name:
Age:
Birthdate:
Gender:
M
F
T-shirt Size:
YS
YM
YL
S
M
L
XL
Str. Address:
Ap.:
City:
State:
Zip:
Phone:
Cell Phone:
E-mail:
Full Name of Parent or Legal Guardian:
Player4 Information:
First Name:
Last Name:
Age:
Birthdate:
Gender:
M
F
T-shirt Size:
YS
YM
YL
S
M
L
XL
Str. Address:
Ap.:
City:
State:
Zip:
Phone:
Cell Phone:
E-mail:
Full Name of Parent or Legal Guardian:
Player5 Information:
First Name:
Last Name:
Age:
Birthdate:
Gender:
M
F
T-shirt Size:
YS
YM
YL
S
M
L
XL
Str. Address:
Ap.:
City:
State:
Zip:
Phone:
Cell Phone:
E-mail:
Full Name of Parent or Legal Guardian:
Player6 Information:
First Name:
Last Name:
Age:
Birthdate:
Gender:
M
F
T-shirt Size:
YS
YM
YL
S
M
L
XL
Str. Address:
Ap.:
City:
State:
Zip:
Phone:
Cell Phone:
E-mail:
Full Name of Parent or Legal Guardian:
As the manager/coach, I hereby agree that all the information above that this team will forfeit all of its games and I will be suspended if any of the information is false. As manager/coach, I hereby accept the responsibility of making sure my players are in total understanding of all department regulations and rules governing this sport.
Full Name of Manager/Coach:
Date:
/
/
Refund Policy
: No cash refunds; You will receive a credit for a future clinic
Copyright 2007-2008 | Skillz Check Soccer Academy LLC | All Rights Reserved