Cardinal Soccer Youth Summer Camp Registration

2026 Cardinal Soccer Youth Summer Camp

July 28-29 | TVCC Soccer Fieldhouse & Practice Field | 8:30 - 11:30 a.m. daily | Ages 8 - 14
Camper's Name

First NameLast Name
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School
Age
Parent/Guardian Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
T-shirt Size
Release by Parents or Guardian or Applicant

In consideration of the Cardinal Soccer Camp and granting the camper permission to participate, I hereby state that the Cardinal Soccer Camp is not responsible for any pre-existing injury or illness of the above camper. I further acknowledge and release the Trinity Valley Community College Board of Trustees, Trinity Valley Community College, the Trinity Valley Soccer Camp and their offices, employees, contractors, agents, all instructors, and all said participants in said soccer camp, from liability, including claims and suits at law or in equity, for injury which may result from the camper taking part in the Trinity Valley Soccer Camp.

I, as a parent or legal guardian, acknowledge and fully understand that the participant will be engaging in activities that involve risk of serious injury. Further, that there may be other risks not known or not reasonable foreseen at this times. I assume all the forgoing risks and accept personal responsibility for the damages following such injury, permanent disability, or death. I hereby consent to said minor’s participation and assume all the risks of his personal injury that may result from the soccer camp activity. I release, waive, discharge, and convenient not to bring legal action upon the Trinity Valley Board of Trustees, Trinity Valley Community College, Trinity Valley Soccer Camp, their officers, employees, contractors, agents, all instructors, all participants and anyone associated with its operation.
Signature
Date

MonthDayYear
Date
Medical Treatment Authorization

I/We, being the parents and/or legal guardian of the applicant, authorize the Cardinal Soccer Camp and its agents permission to request emergency medical treatment or care as necessary to insure the well being of our dependent and claim that the registrant has had a physical examination deeming him to be fit for all physical endeavors.
Signature
Date

MonthDayYear
Date
Are you or your dependents entitled to benefits under any employer, union, group plan, Blue Cross Blue Shield, Medicare, Medicaid, or any other governmental program?
Person Carrying Insurance Coverage
Employer or Sponsoring Organization
Insurance Company / Policy #
Insurance Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cost of the camp is $75.

To submit your registration choose to make payment now or bring payment on first day of camp below.
Should be Empty:

2026 Cardinal Soccer Youth Summer Camp

Release by Parents or Guardian or Applicant

Medical Treatment Authorization