W 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
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D ate o f B irth: _ _ /_ _ /_ _ _ _
Name o f P arent/Guardian:
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Home P hone:
W ork P hone:
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Parents/Guardian S ignature:
D ate: _ _ /_ _ /_ _ _ _
GLOBAL PREMIER SOCCER LLC
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