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Columbia Falls Youth soccer
Day Camp Grades K-6
Horine Field
JULY 9th www.cfyouthsoccer.org
Kindergarten 10:30am - 1pm
Grades 1st-6th 8am - 1pm
Lunch and t-shirt provided for $20 - Payable to CFYS
Player's name_________________________________________________
Grade in fall_________________ Soccer Experience________________
Parent's Names________________________________________________
Emergency Contact info for the day of camp:(names and numbers)
_______________________________________________________________
T-shirt size: YS____ YM____ YL____ AS____ AM____ AL____
Waiver of Liability:
Upon registration the parent/guardian is aware that, as with any sport, there are
inherent risks of injury associated with playing soccer and releases Columbia Falls
Youth Soccer, its coaches, officials, board of directors, volunteer, and or the City of
Columbia Falls from any liability.
I hereby give my consent for all medical treatment prescribed by a duly licensed
Dr. of medicine for __________________________ as his/her parent/guardian. The
medical care may be given under whatever conditions are necessary to preserve life, limb, or well being to my dependent.
Doctor's name_______________________________Doctor's Office #___________
Parent's Signature: _____________________________________Date____________