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SPRING 2008 – SPRING SOCCER CAMP @ GRAFFLIN SCHOOL

                                - APRIL 21 TO APRIL 25, 2008 - 

Armonk

Chappaqua

• Spring Camp
• Spring Registration
• Summer Camp
• Summer Registration
• Printable Form

Danbury

Yorktown Heights

Wilton

BOYS AND GIRLS AGES 6 -14

•  9:30 AM - 12:00 PM - 1/2 DAY  

CAMPER REGISTRATION

Name ---------------------------------------------------------Birth date-----------------------

Address-------------------------------------------------------------------------------------------

Town----------------------------------------------State------------------Zip-------------------

Home Tel-----------------------------------------Emerg Tel-----------------------------------

E-mail----------------------------------------------------------------------------------------------

2008 SPRING BRAKE SOCCER CAMP (APRIL 21 TO APRIL 25, 2008)

Waiver of Liability/ Emergency Authorization

To enable the Town of New Castle, Chappaqua AYSO and Transylvania Gym & Soccer LLC to accept registration and permit participation in the Town of New Castle, Chappaqua AYSO and Transylvania Gym & Soccer LLC ’s activities by the above named player. I player’s parent /guardian, hereby give my consent to his/her participation and agree to release, indemnify, and hold harmless, the Town of New Castle, Chappaqua AYSO and Transylvania Gym & Soccer LLC, their officers, directors instructors/coaches, and representatives from any claim out of the Town of New Castle, Chappaqua AYSO and Transylvania Gym & Soccer LLC ’s activities.

In case of emergency I hereby authorize treatment and care of player by any hospital, doctor, or emergency or ambulance association.

Parent /guardian Signature                          Date

Transylvania Gym &Soccer LLC 

11 Grace Court

Bethel, 

CT -  06801

Tel./Fax (203)778-6623