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Zip Code

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T-Shirt size:

Youth Small
Medium
Large

Adult Small
Medium
Large
XLarge

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Emergency Contacts:

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I the parent/legal guardian of

do hereby release, discharge and hold harmless Laureano Ruiz Soccer Academy Corp., its owners, directors, coaches and staff, waive any and all claims or liabilities for any losses, injuries to my child arising out of participation in any program at Laureano Ruiz Soccer Academy Corp. I authorize the staff of Laureano Ruiz Soccer Academy to act on my behalf in any medical emergency that may be necessary for my child. I also give Laureano Ruiz Soccer Academy permission to take photographs/video footage of my child participating in any program in which he/she is enrolled.

I understand that this footage may be used by Laureano Ruiz Soccer Academy for promotional and/or marketing purposes.

Parent/Guardian Electronic Signature

By typing in your name you agree to all terms and conditions.

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WEEKLY TUITION SCHEDULE: $ 250 / WEEK

If no siblings please enter "NONE" in the above field.

Additional Services, check as needed Before Camp Care is available from 6.30 AM at $ 12 per day.
After Camp Care is avalable from 5:00PM to 6:30 PM at $10 per day.

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I agree to pay a $100 deposit per child per session with this registration form.

I understand that there will be no reduction of the camp fees for missed days for any reasons.

I understand that Laureano Ruiz Soccer Academy Corp. will make every effort possible to protect and safeguard the belongings of all campers. I will not hold Laureano Ruiz Soccer Academy Corp. responsible for my child’s equipment and belongings if damaged or lost, including theft.

Important camp information will be emailed after submission of application.

Please Note: for online enrollment a 3.3% admin fee will be applied.

Parent/Guardian Electronic Signature

By typing in your name you agree to all terms and conditions.