SUMMER MINI CAMP REGISTRATION

KIDS OF SUMMER FALL AFTER SCHOOL REGISTRATION

Riverside Park @ West 106th Street fields. Sessions either 2:30 PM - 3:45 PM or 4:00 PM - 5:15 PM Daily. Players need athletic clothing and plenty of water.
Child Name *
Child Date of Birth *
Child Age (Player must be within age range during summer. example: Baseball ages 8-12 camper can turn 8 during summer) *
Child School *
Illnesses, Allergies, Disabilities we should know about (write NONE if none) *
Child 2 Name (If registering sibling)
Child 2 Date of Birth
Child Age (Camper must be within age range during summer. example: Baseball ages 8-12 camper can turn 8 during summer)
Child 2 School
Illnesses, Allergies, Disabilities we should know about
Parent 1 Name *
Parent 1 Cell Phone *
Parent 1 E-Mail *
Parent 2 Name
Parent 2 Cell Phone
Parent 2 E-Mail
Emergency Contact Name and Relation to camper *
Emergency Contact Cell Phone *
I allow my child to be dismissed from camp and go home on their own *

NO - Someone will be picking up my child YES - My child can go home on their own
If attending full day (Both AM and PM session) will your child utilize our lunch service through the Ellington Cafe (included)

YES NO - My child will bring lunch
For soccer camps were you referred by COSA Academy? *

YES NO
How did you hear about us? *
SELECT SESSIONS

AGES: Baseball - 8-10 Flag Football - 7-12 Soccer - 7-12. Select your sport and session below. Then indicate the number of children you are registering for each week you want to attend. ALL SESSIONS ARE $360.
Number of Children
SUBTOTAL
TOTAL

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USD Description
AGREEMENT/LIABILITY RELEASE

My name below certifies that I am the parent or legal guardian of
the child or children whose name(s) are on this application.
I hereby give my permission for my child to participate in the Kids of Summer Sports program. I understand that participation in sports carries inherent risks, and I agree to hold Kids of Summer Sports, its officers, directors, employees, coaches, and agents harmless from any liability
for any injury, harm, illness or loss that my child may suffer in the course of
his/her participation in the Kids of Summer Sports program. I further
understand and agree that Kids of Summer Sports retains the right to expel
my child from the program if he/she engages in any conduct that is
dangerous to any other participant or to Kids of Summer Sports coaches,
employees or agents or that is disruptive to the program including not following safety protocols implemented by Kids of Summer Staff. I agree to let Kids of Summer Sports
use any photo or video of my child during the course of the program
for promotional purposes.

COVID-19 RELEASE

ASSUMPTION OF RISK: I understand, acknowledge and agree that the coronavirus COVID-19 is highly contagious and that this virus can cause serious and potentially life threatening illness. I accept the risk that I and/or my child(ren) may be exposed to, contract and/or spread COVID-19 by participating in organized baseball activities and services of Kids of Summer Sports, LLC, (hereinafter referred to as the “Company”).

WAIVER AND RELEASE OF LAWSUIT/LIABILITY: I hereby forever release and waive my right to bring suit against the Company and its owners, officers, directors, managers, employees, agents or other representatives in connection with exposure, infection and/or spread of COVID-19 relating to the Company’s organized sports activities and services. I understand that this waiver means that I give up my right to bring any claims for personal injuries, death, or disease, or any other loss, including but not limited to claims of negligence, and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.

CHOICE OF LAW: I understand, acknowledge and agree that the laws of the State of New York will govern the interpretation and enforcement of this Waiver.

I also understand and agree that I will monitor my child and members of my family daily for symptoms related to COVID-19 and any other illness. I agree to not send my child to the Kids of Summer program if he/she is exhibiting any signs of illness or any of my family members living with my child are exhibiting signs of illness including but not limited to: A fever of 100.4 degrees Farenheit or higher, coughing, shortness of breath, a loss of taste or smell. I agree to hold my child out of the program until their symptoms or any ill family members symptoms subside. I also agree to Kids of Summer health policies regarding COVID-19 including a signing of a daily health report form upon check-in at the program. I agree that I will not administer fever reducing medication before check-in at the program if my child is showing a fever of 100.4 degrees farenheit or higher that day.

CANCELLATION/REFUND POLICY

My name below indicates that I understand that full payment is due
with this application.
Participants will not be allowed to attend the program unless full payment
is made or a flexible payment plan was previously arranged.
Failure to submit a payment within that time will cause my child's
spot to be released to other families. I understand that admission
to the Kids of Summer is based solely on availability. Cancellations are accepted up to 10 days before the sessions start date with a full refund. After that time there are no refunds. I understand that there are no refunds due to camper absence or injury. In case of inclement weather and the program is canceled, a make up session will be offered. If camp is canceled due to COVID-19, we will issue refunds for missed days that your child was registered for.

By writing my name below I certify I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS WAIVER AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE
TYPE NAME *
Should be Empty:

KIDS OF SUMMER FALL AFTER SCHOOL REGISTRATION

SELECT SESSIONS