'TES Soccer Camps' Registration Form
Indicates required field
Parent or Guardian's Email Address
Parent or Guardian's Cell phone #
Rec / July 31st - August 4th, 2017
Rec / August 7th - 11th, 2017
Competitive / July 31st - August 4th, 2017
Competitive / August 7th - 11th, 2017
• SUBMIT THIS FORM AS REQUESTED BY HITTING THE 'SUBMIT' BUTTON
• PLEASE SEND PAYMENT TO (CHECKS WRITTEN OUT TO: TEAM EXCEL SOCCER LLC):
Team Excel Soccer, LLC
c/o Phil Bergen
4 Sky Edge Lane
Bethel, CT 06801
AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY
THE UNDERSIGNED HAVE READ THE WAIVER AND RELEASE, UNDERSTAND THAT THEY HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.
In consideration of being allowed to participate in any way in the 'TES Soccer Camps' Program, the undersigned:
1. Agree that prior to participating, they each will inspect the facilities and equipment to be used, and if they believe anything is unsafe, they will immediately advise their supervisor of such condition(s) and refuse to participate; 2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence of others, the rules of play, or the condition 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; 3. Assume all of the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death; 4. Release, waive, discharge and convenient not to sue ASC, Team Excel Soccer, LLC, Orange Park and Recreation, their respective administrators, agents, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as "releases", from demand, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the release of otherwise.
I HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY PAYING FOR PROGRAM.