2019 Registration

Name *
Name
Phone
Phone
Injury Waiver/Photo Acknowledgement I will not hold the Keswick Recreation Assn (KRA) responsible for any injury sustained by my child/ward while engaged in playing soccer or softball (including practices) or while traveling to or from games and practices. The personal information collected herein by the KRA will be used for the purpose of registration for KRA activities and to enable KRA to communicate with such parties. This information may be shared only with specific third parties, such as Soccer New Brunswick and Softball New Brunswick and any other party that is directly involved in KRA activities and only when required to facilitate that involvement. Parent or designated guardian must be in full attendance for duration of game. The participant and his/her parent or legal guardian hereby consent and authorize KRA to use the name, image, voice, likeness, biography or any similar personally identifiable identification of the participant in any and all media now known or hereafter for advertising, publicity, instructional or any other purposes in connection with KRA, without compensation to, or right of prior review or approval by, the participant or his/her parent or legal guardian (to the extent permitted by law).  Accept  Do Not Accept
Date
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