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Declaration and Waiver of Liability
Anthem Futsal Waiver and Release of Liability
Player First Name
Player Last Name
Email
I accept terms & conditions
I agree to release all liability, to participate in Anthem/Mad Skillz programs
I agree to allow photos and video to be published on social media outlets or Anthem/Mad Skillz websites
I am not positive of COVID-19 and I have not been in contact with anyone who is in the last 14 days
Parent Signature
Date
I declare that the info I’ve provided is accurate & complete
Phone
Submit
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