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Excel Sports Academy Registration And Waiver Form
Child's Full Name
Date of Birth
Parent Guardian Name
Phone Number
Email
Address
Postal Code
City
Province
Emergency Contact Number
Are You Registering For Soccer Or Basketball?
Basketball
Soccer
Any Medical Condtions/Allergies That We Should Be Aware Of? Or Any Other Information You'd Like Us To Know.
Signature Or Initials
I declare that the info I’ve provided is accurate & complete
I hereby release, indemnify, and hold harmless the basketball/soccer club, its organizers, coaches, and volunteers from any liability for injuries, accidents, or damages that may occur during club events. [ ] I agree to the terms of the waiver.
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.
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