FTP REGISTRATION FORM

'Fit to Play' Camp Registration Form

* Indicates required field

Player's Name *

First

Last

Parent or Guardian's Email Address *

Parent or Guardian's Cell phone # *

Group *

High School Boys

Entering Grade *

Important Information You Want Us To Know About *

• SUBMIT THIS FORM AS REQUESTED BY HITTING THE 'SUBMIT' BUTTON
• MAKE PAYMENT BY SENDING CHECK WITH COPY OF COMPLETED FORM VIA MAIL
TO 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 'Fit To Play' 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 RHS Soccer Booster Club Camp, Team Excel Soccer, LLC, Ridgefield Parks 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.

Submit

'Fit to Play' Camp Registration Form

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