MERLIN SOCCER CLUB

 PARENT / GUARDIAN CONSENT AND WAIVER

I hereby represent that the above information is true and accurate and the named applicant is in good health and has my permission to participate in the Merlin Soccer Club. I acknowledge that soccer is a contact sport and that there is a risk of injury from participating in the camp and its related activities. I HEREBY WAIVE AND RELEASE Merlin Soccer Club, Merlin Villagomez and its agents, servants and employees from any and liability and claims for damage. In the event of an emergency  I hereby give permission to such Medical personnel as necessary to render treatment.

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A deposit of $176 is required with each application.                                                                                                                                                                                                                       Please return application and checks payable to:

MerlinSoccerClub                                                                                                                                                                                                                                                       727 Jackson Ave,  #2                                                                                                                                                                                                                                              Elizabeth NJ 07201