Samba Futsal Clinic

Step 1 of 2: Submit
Gender:
Any Medical Illness? 
Payment:
By submitting this form, you agree to indemnify and to hold harmless Footy Promotions, its members, coaches, officers or designates from any kind of claim whatsoever.
By submitting this form, I give permission for Footy Promotions and affliates to use any pictures, videos and media taken of my child during this event for promotion purposes.