2023 Soccer Camp Registration Form

2023 Soccer Camp Registration Form with payment

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Camper Name

First

Last

Age

Gender

Street Address

City

State

Zipcode

T-shirt Size

Food allergies

Medical allergies

Parent/guardian

First

Last

Phone number

Emergency contact

First

Last

Emergency contact phone

Authorized adults (to pick up camper)

Liability release

I give the camper identified on this form permission to particpate in the High Power Soccer camp to be held at Bible Baptist Church of Sodus (“BBC”) on July 31-August 4, 2023. FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my child’s participation

Emergency medical treatment

I understand and agree that BBC does not have medical personnel available at the location of the camp activities. I hereby grant BBC permission to authorize emergency medical treatment, if necessary, and to transport Camper to an appropriate facility to receive emergency medical treatment, and that such action shall be subject to the terms of this Agreement. I understand and agree that BBC assumes no responsibility for any injury or damages which might arise out of, or in connection with, such authorized emergency medical treatment.

Photo/media release

I give permission for photographs/videos taken of me/my child/ward while participating in the Soccer Camp to be used in marketing/public relations material in the promotion of Soccer Camp. I acknowledge that I have read this registration form in its entirety and agree to its stipulations.

Comments or Questions

Camp fee

Price: $ 25.00

Total

$ 0.00

Stripe Credit Card

Card

Name on Card

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