Payment

3 ON 3 REGISTRATION
7 players maximum including a goalie
Team fee is $700
or
Individual fee is $130

Anyone completing registration by June 7th will receive the much coveted Stevie Strong T-shirt.

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PARTICIPANT’S SIGNATURE(Required)

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Date Signed(Required)

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Age on July 19th 2024(Required)

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PRINT PARTICIPANT’S NAME(Required)

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PARTICIPANT’S EMAIL(Required)

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Age(Required)

Click here if you will be under 18 years of age on July 19th, 2024

Click here if you will be 18 years of age or older on July 19th, 2024

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Name of Minor Participant(Required)

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Age on July 19th 2024(Required)

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Consent(Required)

I, do hereby certify that I am the parent/guardian with legal responsibility for this participant, and do hereby consent and agree, for myself and for my heirs, assigns, next of kin and Participant, to the complete and perpetual RELEASE and DISCHARGE as provided above of the RELEASEES, for any and all claims, actions or liabilities of any kind whatsoever for personal or bodily injuries, sickness, death or disability, known or unknown, that I or the Participant may have arising out of or in any way connected with the Event, do further forever release and agree to indemnify and hold harmless, to the fullest extent permitted by law, the RELEASEES from any and all liabilities incident to my minor child’s involvement or participation in the Event programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES.

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PARENT/GUARDIAN SIGNATURE(Required)

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Date(Required)

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PARENT/GUARDIAN EMAIL ADDRESS:(Required)

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EMERGENCY PHONE 1(Required)

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EMERGENCY PHONE 2

Untitled(Required)

I’m paying the individual
fee of $130.00

The team fee is being paid by

Name(Required)

Payment(Required)

I’m paying now via Zelle

I’m paying now via Venmo

I’m mailing a check

The person entered above will be paying

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ZELLE:
steviestrong@steviestrong24.org

VENMO:
@steviestrong24.org
steviestrong@steviestrong24.org
773-792-0346

Mail a check!
Stevie Strong Foundation
5872 N Leonard Ave.
Chicago, IL 60646

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3 ON 3 REGISTRATION 7 players maximum including a goalie Team fee is $700 or Individual fee is $130

Anyone completing registration by June 7th will receive the much coveted Stevie Strong T-shirt.

Anyone completing registration by June 7th will receive the much coveted Stevie Strong T-shirt.

ZELLE: steviestrong@steviestrong24.org

VENMO: @steviestrong24.org steviestrong@steviestrong24.org 773-792-0346

Mail a check! Stevie Strong Foundation 5872 N Leonard Ave. Chicago, IL 60646

3 ON 3 REGISTRATION
7 players maximum including a goalie
Team fee is $700
or
Individual fee is $130

ZELLE:
steviestrong@steviestrong24.org

VENMO:
@steviestrong24.org
steviestrong@steviestrong24.org
773-792-0346

Mail a check!
Stevie Strong Foundation
5872 N Leonard Ave.
Chicago, IL 60646