Your store. Manager Copy Test

Amount	Due By
$100.00	Initial payment
$50.00	05/01/2017
$50.00	06/01/2017
$50.00	07/01/2017
$50.00	08/01/2017
$50.00	09/01/2017
$50.00	10/01/2017
Total:	$400.00
Due Today:	$100.00

Amount	Due By
$2,950.00	Initial payment
Total:	$2,950.00
Due Today:	$2,950.00

Amount	Due By
$850.00	Initial payment
$435.00	08/01/2016
$435.00	09/01/2016
$435.00	10/01/2016
$435.00	11/01/2016
$435.00	12/01/2016
$250.00	08/16/2016
Total:	$3,275.00
Due Today:	$850.00

Amount	Due By
$745.00	Initial payment
$330.00	08/01/2016
$330.00	09/01/2016
$330.00	10/01/2016
$330.00	11/01/2016
$330.00	12/01/2016
$330.00	01/01/2017
$330.00	02/01/2017
Total:	$3,055.00
Due Today:	$745.00

Amount	Due By
$310.00	Initial payment
$255.00	08/01/2016
$255.00	09/01/2016
$255.00	10/01/2016
$255.00	11/01/2016
$255.00	12/01/2016
$255.00	01/01/2017
$255.00	02/01/2017
$255.00	03/01/2017
$255.00	04/01/2017
$255.00	05/01/2017
$255.00	06/01/2017
Total:	$3,115.00
Due Today:	$310.00

Amount	Due By
$2,425.00	Initial payment
Total:	$2,425.00
Due Today:	$2,425.00

Amount	Due By
$325.00	Initial payment
$315.00	08/01/2016
$315.00	09/01/2016
$315.00	10/01/2016
$315.00	11/01/2016
$315.00	12/01/2016
$315.00	01/01/2017
$315.00	02/01/2017
Total:	$2,530.00
Due Today:	$325.00

Amount	Due By
$1,700.00	Initial payment
Total:	$1,700.00
Due Today:	$1,700.00

Amount	Due By
$300.00	Initial payment
$295.00	08/15/2016
$295.00	09/15/2016
$295.00	10/15/2016
$295.00	11/15/2016
$295.00	12/15/2016
Total:	$1,775.00
Due Today:	$300.00

Amount	Due By
$975.00	Initial payment
Total:	$975.00
Due Today:	$975.00

Amount	Due By
$200.00	Initial payment
$170.00	08/15/2016
$170.00	09/15/2016
$170.00	10/15/2016
$170.00	11/15/2016
$170.00	12/15/2016
Total:	$1,050.00
Due Today:	$200.00

Amount	Due By
$250.00	Initial payment
Total:	$250.00
Due Today:	$250.00

Amount	Due By
$50.00	Initial payment
$45.00	08/15/2016
$45.00	09/15/2016
$45.00	10/15/2016
$45.00	11/15/2016
$45.00	12/15/2016
Total:	$275.00
Due Today:	$50.00

Amount	Due By
$50.00	Initial payment
$50.00	08/15/2016
$50.00	09/15/2016
$50.00	10/15/2016
$50.00	11/15/2016
$50.00	12/15/2016
$50.00	01/15/2017
$50.00	02/15/2017
$50.00	03/15/2017
$50.00	04/15/2017
$50.00	05/15/2017
$50.00	06/15/2017
Total:	$600.00
Due Today:	$50.00

Amount	Due By
$100.00	Initial payment
$100.00	08/15/2016
$100.00	09/15/2016
$100.00	10/15/2016
$100.00	11/15/2016
$100.00	12/15/2016
$100.00	01/15/2017
$100.00	02/15/2017
$100.00	03/15/2017
$100.00	04/15/2017
$100.00	05/15/2017
$100.00	06/15/2017
Total:	$1,200.00
Due Today:	$100.00

Amount	Due By
$150.00	Initial payment
$150.00	08/15/2016
$150.00	09/15/2016
$150.00	10/15/2016
$150.00	11/15/2016
$150.00	12/15/2016
$150.00	01/15/2017
$150.00	02/15/2017
$150.00	03/15/2017
$150.00	04/15/2017
$150.00	05/15/2017
$150.00	06/15/2017
Total:	$1,800.00
Due Today:	$150.00

Guardian Phone *

Lecture Classes

JFK Tuesday
Saturday TBD
Calhoun Thursday
Mepham Wednesday

TEST RADIO ATTRIB

RADIO VALUE 1
RADIO VALUE 2
RADIO VALUE 3
RADIO VALUE 4
RADIO VALUE 5

Lecture Times

3:30 p.m.
5:00 p.m.
6:30 p.m.
Saturday TBD

Car Times

6:00 a.m.
2:30 p.m.
4:00 p.m.
Saturday TBD
Sunday TBD

Name of High School you attend

Guardian Signature * By typing your name in the signature box and clicking submit, you agree that you are electronically signing this agreement in accordance with the Electronic Signatures Act (Public Law No: 106-229), and agree to be bound by all terms and conditions.

Emergency First Name *

Emergency Last Name *

Emergency Phone *

Emergency Email *

Agreement

In exchange for the license and privilege of access to and/or participation in this event or activity, the undersigned hereby forever releases, holds harmless, waives, discharges, and indemnifies the FC Dallas Soccer Club™, FC Dallas Soccer, LLC, Frisco Stadium, LLC, Major League Soccer, L.L.C., FCD Youth, LLC, FC Dallas Foundation, and their respective affiliates, officers, directors, agents, representatives, sponsors, shareholders, partners, employees, and members (collectively, the “FCD Parties”) from and against any and all liabilities, debts, obligations, costs, expenses, damages, judgments, liens, claims, and demands of any nature or description, in equity or at law, that the undersigned (or his or her heirs or personal representatives) may now have, acquire, own, or hold, or at any time heretofore owned or held, or could or may hereafter own, acquire, or hold against any one or more FCD Parties, known or unknown, suspected or unsuspected, asserted or not, arising out of participation by the undersigned in events or activities conducted by any one or more of the FCD Parties even if the risks and liabilities that the undersigned is releasing arise out of the negligence or carelessness of one or more of the FCD Parties (collectively, the “Released Claims”). This release is specifically intended to be binding on all of the undersigned’s heirs and assigns. The undersigned admits the possibility that the undersigned or his or her successors may not fully know the number or magnitude of all Released Claims, but nevertheless intends to assume all risks by releasing such unknown claims, and agrees that this release is a full and final release and wavier of all Released Claims. The undersigned expressly waives the benefit of any statutory or other provision that creates any exception to the foregoing General Release, Waiver, and Authorization.

The undersigned further grants to the FCD Parties, jointly, for their own benefit and for the benefit of others, the non-exclusive and perpetual right to (a) interview, photograph, or otherwise capture the image of the undersigned, both in still and motion pictures, (b) record the voice of the undersigned, separately and in synchronization with images, by any means known or hereafter discovered, and (c) use and duplicate such photographs or other images, whether in print, videotape, digital, or other formats, and reproduce the voice of the undersigned, separately or together with such images for all purposes. All copies of the undersigned’s image, likeness, and voice created or recorded by the FCD Parties (or their agents) hereunder shall be the exclusive property of the FCD Parties, jointly. The undersigned agrees that the copyright in any work captured by the FCD Parties (or their agents) hereunder shall be the exclusive property of the FCD Parties with all such rights in and to said work having been transferred by the undersigned to the FCD Parties hereby.

The undersigned has read this document, understands the contents, has had the opportunity to obtain legal advice as to its effect, and is under no duress or obligation of any kind to execute it. This General Release and Waiver reflects the understanding of the undersigned with respect to all subject matter addressed herein and will be construed accordingly.

THE UNDERSIGNED UNDERSTANDS THAT ACTIVITIES CONDUCTED BY THE FCD PARTIES ARE INHERENTLY RISKY AND DANGEROUS, AND THE UNDERSIGNED AGREES TO ASSUME ALL RISKS AND DANGERS ASSOCIATED WITH SUCH PARTICIPATION.

Policy To pay my child's FC Dallas Youth club fees and understand that there are no refunds, credits or reductions to the payment plan; that the payments must be received by FC Dallas Youth no later than the agreed upon due date. That if I have not selected to pay in full under Option A (above) I must sign and agree to a promissory note for the full value of any and all payment amounts outstanding to FC Dallas Youth before my player will be eligible to participate. FC Dallas Youth follows a "NO PAY, NO PLAY" policy; which means that a failure to pay as agreed herein may result in the player not being permitted to play. The player will not be allowed to participate with his/her club team until such time that their account is brought current. This includes any penalties in the form of late fees assessed by the Club at its discretion. The coach's pay will be docked the pro rata share of the dues attributable to his/her pay by lack of sufficient funds from the aforementioned player until such time that their account is brought current including any penalties in the form of late fees that may be determined. Failure to pay may result in assigning that portion of unpaid debt to a collections agency to collect on behalf of the Club or Coach. The Club has committed to your child for the entire year and we expect the same commitment from you and your child. We do understand that from time to time situations do arise in which player releases will be requested, however, the Club is not required to approve a release or transfer. All Players are required to fulfill their financial obligations to FCDY regardless of any circumstance.

Guardian First Name *

Guardian Last Name *

Guardian Email *

First Name *

Last Name *

Email *

Birth Date *

Gender * test link

Phone *

Cell *

Grade *

School *

Preferred Contact Method *

Address *

City *

State *

Zip Code *

Country *

Manager Copy Test

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