8th Annual Nardizzi/Nichols Soccer Camp @ Framingham State University
July 16-19, 2018
9-12 PM ($115) rain date July 20
To Register cut and paste the form below:
(After cutting and pasting click the clipboard and select keep text only!!!!!!)
Nardizzi/Nichols Registration Form
July 16-19, 2018 (Rain Date July 20)
Name:________________________________________________________
Address:______________________________________________________
Age:_________ DOB:________________________________
Parent’s Name:_________________________________________________
Telephone #: __________________________________________________
Email:________________________________________________________
Emergency Contact Name:________________________________________
Telephone #:___________________________________________________
Allergies or Medical Conditions we should be aware of:_____________________________________________________________________________
Shirt Size: YS, YM, YL, AS, AM, AL:__________________
Gender M F (Circle one)
I, the undersigned do hereby consent participation in the Nardizzi/Nichols Soccer Camp.
I also agree to release Nardizzi/Nichols and Framingham State University, all their employees, agents, board members, volunteers and any and all individuals and organizations assisting or participating in Nardizzi/Nichols Soccer Camp from any and all claims, rights of action and causes of action that may have arisen in the past, or may arise in the future directly or indirectly, from personal injury or property damage resulting from my participation in the Nardizzi/Nichols Soccer Camp. I also promise, to indemnify, defend, and hold harmless the Releases against any and all legal claims and proceedings of any description that may have been asserted in the past, or may be asserted in the future, directly or indirectly, arising from personal injuries to myself or property damage resulting from my participation in the Nardizzi/Nichols Soccer Camp.
I further affirm that I have read this Consent and Release Form and that I understand the contents of this Form. I understand that my participation is voluntary and I am free to choose to not participate in Nardizzi/Nichols Soccer Camp. By signing this Form, I will participate with full knowledge that the Releases will not be liable to anyone for personal injuries and property damage that I may suffer in Nardizzi/Nichols Soccer Camp. Signed:_________________________________________________________________
Date:___________________________________________________________________
Please make checks payable to Paul Nardizzi and send to:Paul Nardizzi,
