Вы находитесь на странице: 1из 1

Registration and Waiver and Release of Liability Form

The Dream Team Soccer Camp Participant and his/her agents attests:
Acknowledges and Represents that participant is in good physical condition and that participant has no pre-existing
condition, disability, illness, or other condition that could prevent participant from participating in The Dream
Soccer Camp training activities without risk of serious injury or impairment of health.
I/We, the above Participant(s) and/or spouse and/or parents/guardians of the above Participant understand and
acknowledge that each participant will be engaging in activities that involve risk of serious injury, including
disability, illness, or death, and severe social and economic losses which might result not only from their own
actions, inactions or negligence, but the action, inaction, or negligence of others, the rules of play, or the conditional
of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably
foreseeable at this time;
Assumes all the Foregoing risk and accept personal responsibility for the damages following such injury, disability,
illness or death;
Releases, Waives, Discharges and Covenants Not to Sue The Dream Soccer Camp, their respective agents, directors,
coaches, and other employees and/or contractors of the organization, other participants, sponsoring agencies,
sponsors, advertisers, and if applicable, owners and leasers of the premises used to conduct the event, all of which
are hereinafter referred to as Releasees, from any and all liability to each of the undersigned, his or her heirs and
next of kin for any and ALL claims, demands, losses, or damages on account of injury, including by but not limited
to death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the Releasees
or otherwise.
I/We understand that no refunds will be granted after camp has begun. NO exceptions.
I hereby give The Dream Team Soccer Camp permission to take photographs of participant or photographs in which
participant may be involved with others without compensation to participant or me. These photographs may be used
by The Dream Team Soccer Camp for promotional and information purposes in print, on The Dream Team Soccer
Camp websites and in other media.
I//WE HAVE READ THE WAIVER AND RELEASE BELOW, UNDERSTAND THAT WE HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.
CAMP PARTICIPANT NAME (PLEASE PRINT)
AGE GENDER CONTACT EMAIL
EMERGENCY CONTACT / AUTHORIZED PICK-UP NAME WITH PHONE NUMBER
PARENT / GUARDIAN / AGENT NAME WITH PHONE NUMBER
DATE PARENT/GUARDIAN / AGENT SIGNATURE