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SOCCER PARTIES
Parents’ Declaration form
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Name of Parent/Guardian
*
First
Last
Name of Child
*
First
Last
Age of Child
*
Number of Guests
*
I give permission for the following:
Soccer related activities organised by Football Life
Photos and Videos to be taken of my child for social media purposes
Health Declaration (Any known allergies)
Health Declaration (Any disabilities)
Emergency Contact Name #1
*
First
Last
Emergency Contact Phone #1
*
Emergency Contact Name #2
*
First
Last
Emergency Contact Phone #2
*
Permission & Agreement
*
I agree that the information stated above is correct and that it may be distributed to Football Life Coaches.
Signed (Parent/Guardian Print Name)
*
Submit
Please contact Coach Louis (0423 488 116) for any enquiries.