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Camp Price 1 $0.00

Choose Extended Care (Player 1) – Extended Morning (8-9 AM, Mon-Fri) 1 $100.00

Choose Extended Care (Player 1) – Extended Afternoon (3-5 PM, Mon-Fri) 1 $200.00

Choose Extended Care (Player 1) – Extended Morning & Afternoon 1 $300.00

Choose Soccer Ball (Player 1) – Nike Pitch soccer balls (or similar): size 3 (ages 4-7) 1 $39.00

Choose Soccer Ball (Player 1) – Nike Pitch soccer balls (or similar): size 4 (ages 8-11) 1 $39.00

Choose Soccer Ball (Player 1) – Nike Pitch soccer balls (or similar): size 5 (ages 12-99) 1 $39.00

Choose Shin Guard (Player 1) – Nike J Shin Guard Medium (height: 63) 1 $25.00

Choose Shin Guard (Player 1) – Nike J Shin Guard Small (height: 40) 1 $25.00

Choose Extended Care (Player 2) – Extended Morning (8-9 AM, Mon-Fri) 1 $100.00

Choose Extended Care (Player 2) – Extended Afternoon (3-5 PM, Mon-Fri) 1 $200.00

Choose Extended Care (Player 2) – Extended Morning & Afternoon 1 $300.00

Choose Soccer Ball (Player 2) – Nike Pitch soccer balls (or similar): size 3 (ages 4-7) 1 $39.00

Choose Soccer Ball (Player 2) – Nike Pitch soccer balls (or similar): size 4 (ages 8-11) 1 $39.00

Choose Soccer Ball (Player 2) – Nike Pitch soccer balls (or similar): size 5 (ages 12-99) 1 $39.00

Choose Soccer Ball (Player 2) – Nike J Shin Guard Medium (height: 63) 1 $25.00

Choose Soccer Ball (Player 2) – Nike J Shin Guard Small (height: 40) 1 $25.00

Choose Extended Care (Player 3) – Extended Morning (8-9 AM, Mon-Fri) 1 $100.00

Choose Extended Care (Player 3) – Extended Afternoon (3-5 PM, Mon-Fri) 1 $200.00

Choose Extended Care (Player 3) – Extended Morning & Afternoon 1 $300.00

Choose Soccer Ball (Player 3) – Nike Pitch soccer balls (or similar): size 3 (ages 4-7) 1 $39.00

Choose Soccer Ball (Player 3) – Nike Pitch soccer balls (or similar): size 4 (ages 8-11) 1 $39.00

Choose Soccer Ball (Player 3) – Nike Pitch soccer balls (or similar): size 5 (ages 12-99) 1 $39.00

Choose Shin Guard (Player 3) – Nike J Shin Guard Medium (height: 63) 1 $25.00

Choose Shin Guard (Player 3) – Nike J Shin Guard Small (height: 40) 1 $25.00

Choose Extended Care (Player 4) – Extended Morning (8-9 AM, Mon-Fri) 1 $100.00

Choose Extended Care (Player 4) – Extended Afternoon (3-5 PM, Mon-Fri) 1 $200.00

Choose Extended Care (Player 4) – Extended Morning & Afternoon 1 $300.00

Choose Soccer Ball (Player 4) – Nike Pitch soccer balls (or similar): size 3 (ages 4-7) 1 $39.00

Choose Soccer Ball (Player 4) – Nike Pitch soccer balls (or similar): size 4 (ages 8-11) 1 $39.00

Choose Soccer Ball (Player 4) – Nike Pitch soccer balls (or similar): size 5 (ages 12-99) 1 $39.00

Choose Shin Guard (Player 4) – Nike J Shin Guard Medium (height: 63) 1 $25.00

Choose Shin Guard (Player 4) – Nike J Shin Guard Small (height: 40) 1 $25.00

Choose Extended Care (Player 5) – Extended Morning (8-9 AM, Mon-Fri) 1 $100.00

Choose Extended Care (Player 5) – Extended Afternoon (3-5 PM, Mon-Fri) 1 $200.00

Choose Extended Care (Player 5) – Extended Morning & Afternoon 1 $300.00

Choose Soccer Ball (Player 5) – Nike Pitch soccer balls (or similar): size 3 (ages 4-7) 1 $39.00

Choose Soccer Ball (Player 5) – Nike Pitch soccer balls (or similar): size 4 (ages 8-11) 1 $39.00

Choose Soccer Ball (Player 5) – Nike Pitch soccer balls (or similar): size 5 (ages 12-99) 1 $39.00

Choose Shin Guard (Player 5) – Nike J Shin Guard Medium (height: 63) 1 $25.00

Choose Shin Guard (Player 5) – Nike J Shin Guard Small (height: 40) 1 $25.00

Subtotal

Total $0.00

Camp Price

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Agreed Waivers

Required Waiver for World Cup Soccer Camps

Parental Consent

I grant my child(ren) permission to participate in the World Cup Soccer Camps/Classes (WCSC). I understand that soccer activities are of a strenuous nature that do pose some risk of injury. As parent/guardian, I waive all claims of liability against World Cup Soccer Camps, its directors, employees and the cities, schools and facilities of Atherton and Laurel School (LC & UC) and Las Lomitas School, Belmont and Cipriani ES, Burlingame, Campbell, Carlmont High School and Sequoia Union High School District, Concord, Cupertino and Far East Institute, Danville, Dublin, Foster City, Lafayette, Los Altos, St. Simon School and Los Altos School District, Town of Los Gatos and LGS, Mansfield and Apex Indoor Sports Center, Millbrae, Milpitas, Oceanside, Orinda and Orinda Intermediate School, Palo Alto, Redwood City, Reno and Swift Sportsdome (North and South), Rochester and Total Sports Experience, Rancho Cordova and Le Five Rancho Cordova LLC, San Carlos, San Francisco and City College of San Francisco, San Jose, Orion Montesorri School and Saint Frances Cabrini School, San Mateo, Santa Cruz, Bay View ES, DeLaveaga ES, and Westlake ES, Saratoga and St. Andrews School, Sunnyvale, Tustin, Union City and, West Sacramento and Le Five West Sacramento LLC. My child will participate in the camp using proper protective equipment and he/she does so with my permission at his/her own risk.

In case of emergency, I hereby consent to medical examination and/or treatment for my child(ren). WCSC reserves the right to use any photographs or video taken by WCSC during camps, clinics, personal training or any other sponsored events by WCSC without the expressed written permission of those included within the photographs/video. WCSC may use the photographs/video in publications or other media material produced, used or contracted by WCSC including but not limited to: brochures, invitations, books, newspapers, magazines, television, websites, social media etc. Any person desiring not to have their photo taken or distributed must contact us at camps@worldcupsoccercamps.com in writing of his/her intentions.

By registering for our camps/classes/practices you confirm compliance with each county’s health guidelines.

City of Lafayette Waiver

I realize that there is an inherent risk of injury when participating in recreation activities and I consent to the registered person’s participation in said activities.

I understand that the City of Lafayette does not carry medical accident insurance for injuries sustained in its programs and I, therefore, assume the risk of any injuries arising out of, or in connection with, my or my child’s participation in said activities. In the event of any emergency, I authorize city officials to secure from any licensed hospital, physician and/or medical personnel, any treatment deemed necessary for my or my child’s immediate care and agree that I will be responsible for all services rendered.

I have read and fully understand this agreement, assume all risk for any injuries sustained and consent to emergency medical treatment.

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