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Sport Video
Mt Laurel
Striker/Keeper Series Registration
For all Striker/Keeper Series fill out the fields below, click submit, then click the payment icon to pay online. If you wish to pay by check, click the link for the mail-in registration form.
Click HERE for mail-in form
Thank you for filling out the form below.
The field marked with (*) are required fields.
*
Athletes First Name
*
Athletes Last Name
*
Street Address
*
City
*
State
[Select One]
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*
Zip
Gender
[Select One]
Male
Female
*
Date of Birth (mm/dd/yy)
*
I am one of the following:
[Select One]
Striker
Keeper
*
I myself, my spouse, my child, and on behalf of my/ our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, Net Edge Training,Far Post Soccer, coaches, owners and instructors , other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the training (" Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, or loss or damage to person or property incident to my child’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I understand and accept that pictures/ videos taken at clinics, training and camps may be used for promotional purposes. I grant permission for my child to receive emergency medical treatment. I also assume full financial responsibility for any medical treatment for my child. BY CHECKING THE BOX BELOW I ACKNOWLEDGE THAT I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, THAT I FULLY UNDERSTAND AND AGREE TO ITS TERMS.
Yes
*
Name of parent or guardian
*
Home Phone Number
*
Cell Phone Number
*
E-Mail Address
*
Program Selection Choose one
[Select One]
ELITE FEMALE July21st -July 25th, 5:30-8:30pm Fairleigh Dickinson University, Teaneck, NJ
MVP June 30th-July 4th 9:00 am-12:00pm. Deer Path Park Clinton, NJ
MVP July 21st-July 25th 9:00 am-12:00pm, Old Troy Fields Parsippany NJ
CHAMPION July 21st-July 25th 9:00 am-12:00pm, Old Troy Fields Parsippany NJ
MVP July 26th-July 30th 5:30pm-8:30pm HArtford school Mt. Laurel, NJ
To go to Check-Out click the Submit button below.
GK Training Tips
Great Links!
Registration
Sport Video
Mt Laurel