CONTACT US

Parent Information:
Parent Name:
Email:
Cell Phone:
Home Phone:
Street Address:
City, State:
Zip Code:

Camp Selection/Player Info:
Camp Selection:
Player First Name:
Player Last Name:
Current Soccer Club:
Soccer Level:
Player Gender:	Boy Girl
Age Group:
(for office use only):

Player/Parent Release:
I recognize the possibility of physical injury associated with soccer activities, and hereby release, discharge, and otherwise indemnify Conquer United Soccer Academy, its coaches and affiliates against any claim by or on behalf of the player named above.
By participating in this Program, I agree to abide by all the rules set out by Conquer United Soccer Academy (CUSA) and understand that they have the right to change or modify dates, times, and rules of the Training Academy at any time without prior notice.
PLAYER RELEASE :	I ACCEPT THE TERMS AND CONDITIONS ABOVE