Gps Waiver Form
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1W W W . G L O B A L P R E M I E R S O C C E R . C O M
GLOBAL PREMIER SOCCER WAIVER FORM
Name o f P layer:
Age:
D ate o f B irth: _ _ /_ _ /_ _ _ _
Name o f P arent/Guardian:
Address:
City:
State:
Zip:
Home P hone:
W ork P hone:
Email A ddress:
Parents/Guardian S ignature:
D ate: _ _ /_ _ /_ _ _ _
GLOBAL PREMIER SOCCER LLC
85 CENTRAL STREET, WALTHAM, MA 02453
TEL (781) 891-6900
FAX (781) 891-6910
EMAIL
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