Register for Camp

Player Information			Parent Information
First name			First name
Last name			Last name
Male/Female	Male Female		Street
Birthdate			City
Shirt Size	Youth Adult		State
S M L XL			Zip Code
Contact Information
E-Mail
Telephone
Emergency Contact			Phone
Dr. Name			Phone
I give my permission for my child to attend the UA Soccer Academy, LLC youth summer camp. I understand that all requirements and directions are given for their benefit. My child is physically capable of participating in all activities without restriction. I release UA Schools, the camp soccer staff, and all employees from any injuries incurred from the camp. I realize that the camp does not provide insurance and that I am solely responsible for any financial obligations which might be incurred as a result of injuries related to the camp. This camp is NOT a fuction of UACS.
I have read and understand the foregoing release