Coerver Training

Player Information

Player Information

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T-Shirt Size *
 

Household / Adult Primary Contact

Household / Adult Primary Contact

Coerver Center of Excellence
Coerver Center of Excellence: Age Group - Session *
9 Week Coerver Academy
For U8- U16 Mondays,
5:00pm to 6:30pm
Paying by Check or Credit Card? *

Waiver Signature

This is to certify that I, as parent/guardian with legal responsibility for this child do consent and agree to release Soccer Blast, its officers, employees, volunteers, officials and agents from any and all claims, liabilities, loss of service and causes of action of any kind for personal injury and property damage arising out of my child’s involvement or participation in this program *
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