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@LISOCCERACADEMYCAMP
LONG ISLAND
SOCCER ACADEMY
2021
SUMMER REGISTRATION
LI SOCCER ACADEMY IS PLEASED TO OFFER SEVERAL OPTIONS FOR THE 2021 SUMMER SEASON. PLEASE CHECK OFF THE APPROPRIATE WEEK(S) AND TIMES YOU WISH YOUR CHILD TO ATTEND.
I AM REGISTERING FOR
WEEK ONE (JULY 19TH - JULY 23RD) - FULL DAY 9:30AM - 3:00PM
WEEK ONE (JULY 19TH - JULY 23RD) - MINI DAY 9:30AM - 11:45AM
WEEK TWO (AUGUST 16TH - AUGUST 20TH) - FULL DAY 9:30AM - 3:00PM
WEEK TWO (AUGUST 16TH - AUGUST 20TH) - MINI DAY 9:30AM - 11:45AM
MALE
FEMALE
WHAT SIZE CAMP SHIRT?
*
YOUTH - S
YOUTH - M
YOUTH - L
ADULT - S
ADULT - M
ADULT - L
ALLERGIES - ANY KNOWN ALLERGIES?
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YES
NO
I AUTHORIZE LONG ISLAND SOCCER ACADEMY CAMP TO USE PHOTOS OF MY CHILD(REN) FOR THE CAMP WEBSITE.
*
YES
NO
HOW DID YOU LEARN ABOUT THE LONG ISLAND SOCCER ACADEMY CAMP?
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FRIEND/FAMILY
EMAIL
WEB SEARCH
SOCIAL MEDIA
OTHER
I ACKNOWLEDGE THAT ALL MONEY THAT IS SENT TO LONG ISLAND SOCCER ACADEMY CAMP IS NON REFUNDABLE NOR NON TRANSFERABLE .
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YES
NO
AS PARENT OR LEGAL GUARDIAN OF THE APPLICANT, I AUTHORIZE THE LONG ISLAND SOCCER ACADEMY CAMP TO REQUEST MEDICAL TREATMENT AS NECCESSARY TO INSURE THE WELL BEING OF THE APPLICANT. WE, THE UNDERSIGNED, FOR OURSELVES, OUR HEIRS, EXECUTORS AND ADMINISTRATORS, WAIVER AND RELEASE AND FOREIGN DISCHARGE LONG ISLAND SOCCER ACADEMY CAMP, THE STAFF, OFFICERS, AGENTS, REPRESENTATIVES, EMPLOYEES, SUCCESSORS.
*
AGREE TO PARENTAL/GUARDIAN LEGAL CONSENT
REGISTER
THANK YOU! YOUR REGISTRATION IS NOW COMPLETE. PLEASE CHECK YOUR EMAIL FOR YOUR NEXT STEPS.
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