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USA Blind Soccer Experience in Los Angeles
PLEASE RSVP BY OCTOBER 6, 2023
1.
First Name
2.
Last Name
3.
Email address
4.
Phone number
5.
Name of Organization
6.
Are you planning to participate in the event experience on the soccer pitch?
Yes
No
7.
Are you blind or visually impaired?
Yes
No
8.
Are you under the age of 18?
Yes
No
9.
Will you be staying for lunch?
Yes
No
10.
Do you have any allergies we need to be aware of?
11.
Do you require any ADA assistance?
Yes
No
If yes, please specify
All participants are required to fill out the
Galaxy Park waiver
