Camp Attending
2022 Barcelonasa Soccer Camp Waiver and Release
Camper’s Name:
I ....................................... (Parent, applicant-participant) understand that the Barcelonasa Soccer Camp is not responsible for accidents or injuries occurring at camp or during transportation of participants to and from camp resulting in medical, dental or
other expenses, including the loss of personal items.
The camp participant will be held responsible for all property damage that the participant may cause and may be sent home without a refund for violation of camp rules.
The applicant must be in good health and be able to participate in the physical activity of a vigorous soccer program. If emergency medical aid/treatment is required due to illness or injury during the camp, it is permissible for Barcelonasa Soccer Camp to secure and retain medical treatment and transportation if
needed.
In addition, I give the Barcelonasa Soccer Camp permission to transport the above-mentioned child to and from training fields. Also, the undersigned individual and/or as parent or legal guardian of the above-mentioned child understands that this camp is not owned or operated by any of the Barcelonasa Soccer Camp sites include Soccer Field at 11816 North Loop El Paso TX 79927 and East Cave Park 14341 East Cave Av. El Paso TX 79938. do hereby agree to waive, release and hold from any and all causes of action including, but not limited to, negligence and property damage.
I do also hereby release the Barcelonasa Soccer Camp and all those mentioned above and any others acting on behalf of Barcelonasa Soccer Camp from any responsibility or liability for any injury or damage to the camper named in this release, including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf or in any way arising out of or connected with the camper’s participation in any activities of the Barcelonasa Soccer Camp.
I also grant the Barcelonasa Soccer Camp the right to use any
photographs of camp activities in future promotional materials for the camp.
Parent/Guardian Signature:............................................................
Date: ___________________________________________________
Insurance Company:_______________________________________
Policy Number: _Group Number: _____________________________
Special Medical Concerns:___________________________________
Parent/Guardian Email Address: ..............................................