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2023 Catholic Soccer Camp Waiver and Release of Liability

- Formation & Family

Each Player and Volunteer Must Have a Submitted Waiver on File

The entire Waiver and Release of Liability document is available to read at the link below. Submitting the form below indicates agreement and acceptance by the player and/or the player's (if a minor) Parent/Guardian.
Player Waiver and Release of Liability
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- By clicking the box below, I affirm that I am the parent/guardian of the player above and I agree to the terms laid out in the Waiver and release of liability document.
- I Agree Please select this field.
- Parent/Guardian First Name REQUIRED Please fill out this field. Please enter valid data.
- Parent/Guardian Last Name REQUIRED Please fill out this field. Please enter valid data.
- Emergency Medical Permission
  
  In the case of medical emergency, I, the parent/guardian of the player listed above, give permission to representatives of St. Catherine of Siena Catholic Church to obtain all necessary medical care presecribed by the nearest emergency room. This care may be given under whatever conditions are necessary to preserve life, limb or well-being of my dependent.
- Parent/Guardian First Name REQUIRED Please fill out this field. Please enter valid data.
- Parent/Guardian Last Name REQUIRED Please fill out this field. Please enter valid data.
- I Agree Please select this field.
- Emergency Contacts
  
  In the event of an emergency, and I cannot be reached, please contact:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email Please enter an email address.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email Please enter an email address.
Submit

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Links
- Waiver Release Document