Location:
Roberts Elementary School Large Gym
Dates:
Tuesdays: March 2nd, 9th, 16th 23rd, 30th, April 6th
Cost:
K-1st grade (6:00-6:50 pm) - $45
2nd-4th grade (7:00-8:00 pm) - $50
Player Name Birthday
Grade
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 Roberts Elementary School, St Croix Central School District, 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 health 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