ESA EUROPEAN SOCCER CLINICS
REGISTRATION
 
Space is limited
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age 7 - U9 U-10 U-11 U-12 U-13 U-14 U-15 - U18
Boy  Girl Boy  Girl Boy  Girl Boy  Girl Boy  Girl Boy  Girl Boy  Girl
 
Name DOB 
Address    
City/Town Phone #
       
Parents Names Email
       
Sessions Interested  in: 
Notation of combination Sessions:
Other comments or questions:      

                                Please complete below:              Consent of Medical Treatment (Minor)

The above named soccer player has my permission to participate in the ESA European Soccer Academy and / or Clinics. I further certify that him/her is capable of participating in a strenuous physical activity, to wit soccer. I also agree to hold harmless the F.C. Napoli soccer club, its staff, agents, the facility or anyone affiliated with F.C. Napoli from any and all injuries which may be sustained by the player during his/her participating in the try out. In case of emergency, I understand every attempt will be made to care for the above named player.   I give my permission to the tending physician to render medical treatment to the participant, including (if necessary) hospitalization. Any expense arising from or illness is the responsibility of the person signing below.   Clinic registration is complete when payment is received.

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