Futsal Waiver

RELEASE AND INDEMNITY

ALL PLAYERS MUST READ THE WAIVER BELOW AND FILL OUT THE ENTRY FORM.

By completing this form this constitutes application and consent that the named individual participates in the recreation program sponsored by the Cameron Park Community Services District. I/We, as the individual's legal guardian, further release and forever discharge the CSD, its directors, employees and instructors from any and every claim demand, action or right of action arising from or by reason of any bodily injury or personal injuries, death or property damage which may occur as a result of participation in the said class or any activities in connection with the class, whether or not caused by act or omission of the CSD, its directors, employees, or instructors.

Parents Name
Child's Name
Email Address
Phone Number
Team Name
Coaches Name
Today's Date
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Verification

Required Fields