INDOOR RECREATIONAL SOCCER LEAGUE

Location: Tillie's Touch Community Center (211 Catawba St, Syracuse, NY, 13208)

Date: Every Friday evening, from 2/17-3/24

Time: 5pm - 7pm

*There is a registration fee of $40/child

*One form per child

REGISTER NOW

211 Catawba St.

Syracuse, NY 13208

USA

315-254-8569

tilliestouch@aol.com

Child's First Name

Child's Last Name

Address

School Name & Grade

Emergency Contact Name & Phone Number

Child's Date of Birth

I acknowledge that by checking this box serves as a physical signature. I/We, the parents of the above-named candidate, hereby give my/our approval to their participation in all Tillie’s Touch league, non-league, soccer clinic, any soccer activities, including but not limited to all activities at the Tillie’s Touch facility located at 808 N. Salina Street, Syracuse, New York, travel soccer games, soccer tournaments and soccer practices. I/We do hereby waive, release, absolve, indemnify, and agree to hold harmless this organization, the organizers, directors, coaches, volunteers, sponsors, supervisors, participants for any claim arising out of an injury to my/our child whether the result of negligence or for any other cause, except to the extent and including the amount covered by accident or liability insurance. I/We assume all risks and hazards Incidental to such participation including transportation to and from activities. I/We do hereby waive, release, absolve, indemnify, and agree to hold harmless this organization, the organizers, directors, coaches, volunteers, sponsors, supervisors, participants, and persons transporting my/our child to or from activities, for any claim arising out of an injury to my/our child whether the result of negligence or for any other cause, except to the extent and including the amount covered by accident or liability insurance.

I understand that photos may be taken of my child at this event for the organizations marketing purposes. I may contact Tillis Touch by sending an email at TilliesTouchSyr@gmail.com if I have questions or concerns about this.

Thanks for submitting!

INDOOR RECREATIONAL SOCCER LEAGUE

REGISTER NOW

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