Harding Township Recreation Association
keeping sports fun for everyone
REGISTER
SOCCER
PLAYER
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Male Female
PRIMARY CONTACT
BE A VOLUNTEER!OPTIONAL?
ADDITIONAL CONTACT
EMERGENCY CONTACT
PHYSICIAN

I give my approval to the participation of my child in any and all activities of the Harding Township Recreation Association soccer program.

I hereby agree to a waiver of liability which extends to and covers all participation in the soccer program and transportation to and from activities.

I further release, absolve, and hold harmless Harding Township Recreation Association, organizers, sponsors, their members or any of the supervisors and representatives appointed by them, including coaches and coaching assistants, from the activities relating to their participation.

I also hereby give permission, in my absence, for the coach or another adult appointee to secure medical treatment for my child and give consent for my child to be treated by a physician and/or taken to a hospital by the first aid squad in order to secure medical treatment.

PAYMENT
Pre-K: $50.00 K-3: $90.00
VISA, MC, AMEX, DISCOVER
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