8th Annual Nardizzi/Nichols Soccer Camp @ Framingham State University
July 10-13, 2017
9-12 PM ($115) rain date July 14

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 10-13, 2017 (Rain Date July 14)

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, 17 Clovelly Lane, Framingham, MA 01702 by June 30, 2017. (100 sibling dicount)

Make a Free Website with Yola.