Photo Soccer Summer Coaching Camps Registration Form for April and May-2015 (One form per student) 1500/Per Month Experience the “Difference” of our Let’s Play Soccer Camps Address: Raghavendra Nagar, Near Raghavendra circle T.C playa Main Road Ramamurthy Nagar *Registration fees are non-refundable. (Payable by Cash and Cheque only) Please make your checks payable to Let’s Play. ----------------------------------------------------------------------------1) STUDENT INFORMATION 2) PARENT/GUARDIAN INFORMATION Name: ___________________________________ Address: _________________________________ City: ________________ State: ___ Zip: _______ Age: _________ M or F Name: ___________________________________ Address: _________________________________ City: ________________ State: ___ Zip: _______ Telephone #: _________________ Secondary Telephone #: _________________ Relation: ___________________ 3) REGISTERING FOR (please check one): Group Sub Junior Junior Senior Age Ages 5-8 Ages 9-14 Ages 14+ 4) Anything we should know about the health condition of the kid’s enrolled __________________________________________________________________________________________ __________________________________________________________________________________________ 5) WHAT TO BRING: Jersey, Shorts, Stockings Shin guards, a small snack, and Energy drink or Water 6) Soccer balls, Jersey, Shorts, Stockings, Shin guards are also available for purchase if needed. Notice of warning: There is a potential risk in training and participant in any sport, and we have tried to create a safe environment. The coaches have established rules for participant and proper conduct on or about the field must be followed Agreement: I have hereby understood the risk involved. I hereby agree that my children will follow all rules for good order and safety of the camp. Signature of parent or Guardian. ----------------------------------------If you have any questions, please feel free to contact us at: Phone: 9886-585-585 Website: www.letsplay5s.com
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