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DSYSA King & Queen of the Goal Tournament
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1.
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Last Name
2.
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First Name
3.
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Date of Birth (ex: Aug 15, 1996)
4.
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Age
5.
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Goalie's Email Address
6.
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Mother's/Guardian's Name
7.
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Mother's/Guardian's Phone Number
8.
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Mother's/Guardian's Email Address
9.
Father's/Guardian's Name
10.
Father's/Guardian's Phone Number
11.
Father's/Guardian's Email Address
12.
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I authorize my son/daughter to participate in the Dripping Springs Youth Sports Association ("DSYSA")Soccer Club 2008 King & Queen of the Goal Tournament. I agree to release, hold harmless and indemnify DSYSA, the DSYSA Soccer Club, members of DSYSA Soccer Board, the Director of Coaching for the DSYSA Soccer Club, and the DSYSA Soccer Club coaches, jointly and severally, from any and all claims, causes of action, liability, and damages of any nature that my arise as a result of my son's/daughter's participation in this activity.
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