Location: Hudson Soccer Complex
Dates: July 7th, 8th, 9th, 10th, 11th
Ages 5-7 8:30am - 9:30am $35
Ages 8 and Older 9:30am - 12:30pm $100
Player Name Birthday
Please Circle - Male / Female Shirt Size - Youth Adult S M L
Parent (s) Name:
Phone Number: Emergency Number:
Address:
Email :
Release of liability: I hereby waive, release and forever discharge Hudson Soccer Association, Street Feet LLC staff and officers from any liability or claim arising out of any loss, personal injury or property damage that may occur during participation in the Street Feet soccer camp. In case of emergency, I grant permission for my child or myself to receive medical treatment at a local hospital. All Campers should have their own insurance.
Signature of Parent Date
Checks can be made payable to: Street Feet LLC
Return to:
Street Feet Soccer
PO Box 381
Hudson WI 54016
I grant permission for camp photographs to be posted on Street Feet Soccer Academy’s Web site.
Signature of Parent Date
Signature of Player Date