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Parent Consent Form
Your child will be insured for supplemental medical coverage under the United States Youth Soccer Association. Participation in sports, including youth soccer, has inherent risk of injury. By submission of this registration you hereby release the Kenton Soccer Association and Just For Kicks Soccer Camp, it's officers, board, coaches and employees, from any liability in the event your child is injured during participation in any of our programs. Photos may be taken of your child for use on our website and you give permission for such use.
 Registration 

After you submit your registration you will be taken to the club payment center where you can submit payment via pay-pal.  If you wish to register by paper, click here to access the registration form, print it out, and return it with your payment.

First Name:
 *
Last Name:
 *
Email Address:
Address:
 *
City:
 *
State:
 *
Zip Code:
 *
Phone 1
 *
Phone 2
Parent's Name
Gender
Date of Birth
 *
Soccer Camp Program
Comments:
Shirts Size (if applicable)
Security code:
 *
Do not enter anything in this field:

* indicates a required field
 
    Dedicated to encouraging the "Love of the Game" in the Kenmore and Tonawanda area of Western New York

    Kenton Soccer Association
    P.O. Box 701
    Kenmore, NY 14217
    Email: teamolivieri@verizon.net

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