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ABSOLUTE SOCCER WAIVER

PLEASE FILL OUT THIS MEDICAL WAIVER BEFORE YOUR TRAINING BEGINS

First Name

Email Address

Last Name

Date of Birth

Do you have a doctor’s permit to participate in intense physical activities? *

No

Yes

Have you had a concussion in the last past 12 months? *

No

Yes

Parents Initials

Today's Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

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