Master The Streets Registration

Total
C$0.00

Participant Info

 

Address

 

Contact Info

 

Authorization




  • 1. Acknowledge that the fee charged does not include insurance of any kind.

    2. Release and forever discharge Freestyle Soccer, its authorized agents, employees, and representatives from any and all causes of action, claims, damages, loss, or injuries of every nature and kind, howsoever arising, which I or the participant ever had, has now (have), or may hereafter have as a result of participation in this program.

    3. Authorize the provision of emergency medical services to the participant, if deemed necessary, by a qualified medical practitioner.

    4. Authorize Freestyle Soccer to use testimonials, photos, or video excerpts of the participant which may appear in brochures, advertisements or other media venues.

    5. Agree that I am responsible for the payment of the program fee.

    6. Certify that I am authorized to sign this release without the consent of any other person.
 

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Verification

 

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