Telephone:

Sunblazer Soccer

Players win games, teams win championships!
Session 1: Jul 12- Jul 16 Session 2: Jul 19- Jul 23
Session 3: Jul 26 -Jul 30 Session 4: Aug 02-Aug 06
Session 5: Aug 09-Aug 13
                                           
        COST: $110.00 Member / $147.00 Gables Resident / $184.00 Non-Resident - Per week
      $ 79.00 Member / $105.00 Gables Resident / $131.00 Non-Resident - Per week Half Day ( ages 4-7 only)
               9:00am-3:00pm Full day / 9:00am-1:00pm - Half Day

Lunch 12:00pm- 1:00pm

*Registration must be accompanied by payment*

In consideration of the acceptance by sponsors of my entry in the Sunblazer Camp, I, the undersigned,
Intending to be legally bound for myself, my heirs, executor, administrators and assignees, do hereby waive, release and forever discharge the sponsors of this event including Danish Dynamic Inc, Sunblazer Camp, Soccer Locker, Adidas and any governing body or political subdivision of Florida Coral Gables youth and memorial center and its employees all sponsors and producers of this event, their agents representatives, successors, assignees from all liabilities, actions, claims, demands, costs and expenses, which I may now or in the future have against them or any of them arising put of or in any way connected to my participation in or the operation of any event in route to or from the event included but not limited to any alleged negligence or other action or inaction of the above named parties.

Name_________________________________________________________________
                        Last first
Address________________________________________________________________

City/State/Zipcode_______________________________________________________

Age___________ Grade (2008-2009)_____________Birthdate____________
                                                                                                              
Positions Played_______________ Circle Sessions Attending 1 2 3 4

Parents Name_________________________________________________

Home Phone________________________ Cell Phone____________________________

Emergency Contact _____________________Phone____________________________

E-Mail_________________________________________________________________

I herby give my child permission to attend Sunblazer Camp and for a qualified, athletic trainer and/or hospital emergency room to administer necessary health care in the case of an accident and/or emergency. In addition I acknowledge that I have read and understand all information in this waiver
_______________________________________________________________________________
Parent/Guardian Signature
        
                                 *Make check payable to Coral Gables Youth Center
                                       Please send check and registration form to
                           Coral Gables Youth Center 405 University Dr., Coral Gables, Fl, 33134
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405 University Dr, Coral Gables 33134
Sessions are for Girls and Boys