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Parent Info
Parent Name
(Required)
First
Last
Parent Email
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Parent Phone
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Player Info
Player Info
Player's Name
Player's Birth Date
Current Club/Playing Experience
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Players.
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Maximum number of players reached.
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Player Count
Emergency Contact
Emergency Contact Person
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Last
Emergency Contact Phone Number
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Emergency Contact Email
Camp Selection
Camp
Quantity
(Required)
Price:
$0.00
Quantity
Which camp session(s) are you interested in?
(Required)
Brentwood Advanced Summer HALF DAY Camp (9am - 12pm) June 15-19
Franklin Advanced Summer Camp (9am - 3pm) June 22-26
Brentwood Advanced Summer Camp (9am - 3pm) July 13-17
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Camp Count
Discount
$0.00
Total
Consent
REFUND POLICY
(Required)
REFUND POLICY:
1. Full Refund Period
• 100% refund (minus a small processing fee, if applicable) for cancellations made 14–30 days before the camp start date.
2. Partial Refund Period
• 50% refund for cancellations made 7–13 days before the camp start date.
3. No Refund Period
• No refunds for cancellations made within 6 days of the camp start date
I agree to the REFUND POLICY.
Consent
(Required)
RELEASE: In case of emergency when I cannot be reached, I authorize the staff of Londono Soccer to obtain whatever medical treatment deemed necessary for the welfare of my child. I further understand and agree that I will be financially responsible for all charges and fees incurred in the rendering of said emergency treatment, regardless of whether or not my medical insurance would cover such charges and fees. I hereby give my consent to my child's participation in the activities of Londono Soccer and hereby absolve, release, and hold harmless Londono Soccer and all of its officers, directors, shareholders, agents, representatives, attorneys, employees, owners, successors, assigns, and other affiliates from any and all liability for any injuries or damages that my child may suffer in connection with the activities sponsored by Londono Soccer or in which my child may participate.
I agree to the release.
Parent Signature:
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Payment
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Supported Credit Cards: Discover, MasterCard, Visa
Card Number
Expiration Date
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