Men's ID Soccer Camp

Wolves Men's ID Soccer Camp January 5th 2025

Hidden

Date

Athlete's Name*

First Last

Age*

Expected Graduation Year

School

Club Team

Position*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone*

Cell Phone

Email*

Medical Issues/Allergies

Emergency Contact Name*

Emergency Contact Phone*

Insurance Company*

Insurance Policy Number*

Parent or Guardian Name*

First Last

Parent or Guardian Email*

Parent or Guardian Phone number*

Registration

Price:

My Son is interested in playing for WOU

I hereby register my child for the WOU Soccer Camp(s) and authorize the staff to direct my child in participation of the camp activities.
I know of no mental or physical problems that may affect my child’s ability to safely participate in this camp. I acknowledge that I am responsible for any and all medical or other charges incurred in connection with my child’s attendance at the WOU Soccer Camp(s).
In consideration for my child’s participation in the WOU Soccer Camp(s), I hereby release and hold harmless the WOU Soccer team, coaches, Western Oregon University and its employees, agents and assignees from any and all liability that may arise out of my child’s participation in the camp including transportation to and from, or in connection with said school in any vehicle operated on behalf of the WOU Soccer Camp staff and Western Oregon University.
The WOU Soccer team or employees thereof are authorized to seek medical treatment as necessary in the event of injury, accident or illness to my child.

I have read and accept the SOCCER CAMP(S) AND WOU ACTIVITY WAIVER*

Total

$0.00

CAPTCHA