Milton Sports Hall of Fame - 2023 Athlete Registration Form

Camp Flyer (PDF file)

I have a VIP code:

(provided to you by the MSHOF)

Athlete's Name:*

First NameLast Name

Counsellor's Name:*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityProvince

Postal Code

Gender*

FemaleMale

Date of Birth*

Date

Important Medical Information:

(e.g. has epi pen, needs puffer,...)

Guardian/Parent Name:*

First NameLast Name

Day-time Phone Number*

Please enter a phone number we can reach you in case of an emergency.

Email of Guardian (primary contact)*

example@example.com

Is Guardian/Parent the Emergency Contact?*

YesNo

Emergency Contact:

First NameLast Name

Emergency Contact Phone Number:

Please enter phone number we can call in case of an emergency.

Drop-Off/Pick-up Authorization

My child(ren) may be picked up or dropped-off by the following adult(s):

Who can drop off and pick up my child?*

MyselfOther adults

Name (yourself or partner):*

First NameLast Name

Alternate adult 1:

First NameLast Name

Alternate adult 2:

First NameLast Name

Waiver

I hereby give my full consent and approval for my child to participate in The Milton Sports Hall of Fame Sports Camp. I understand that there are certain risks of injury inherent in the practice and play of the sports and other related activities incidental to my child’s participation, and I am willing to assume these risks on behalf of my child. I hereby certify that my child is fully capable of participating in this active sports camp and that my child is healthy and has no physical or mental disabilities or infirmities that would restrict full participation in this sports camp, except as listed in the medical information section. &#13;&#10;I understand that there will be no medical personnel on-site at the camp. I further understand that the camp personnel will not administer any medications (over the counter or prescription) to an athlete. In the event of any emergency, if I cannot be reached by phone, I give permission for camp personnel to exercise their discretion to have my child transported to hospital. &#13;&#10;In addition to giving my full consent for my child’s participaction, I do hereby waive, release and hold harmless The Milton Sports Hall of Fame, its officers, camp supervisors, volunteers and representatives for any injury that may be suffered by my child in the normal course of participation in the sports and activities incidental thereto, whether the result of negligence or any other cause. I permit photos and videos of my child to be used for general Milton Sports Hall of Fame promotions.&#13;&#10;

Refund Policy

No refund will be be provided if requested within 20 days of the start of the Camp/Clinic. Refunds will be issued if the request is received by the Camp/Clinic Director at least 21 days prior to the start of the Camp/Clinic. A 10% handling fee will be applied to eligible refunds. If we cancel a Camp/Clinic, we will issue a 100% refund. We follow public health guidelines and will refund 100% of the fee if public health measures cause us to close camp before the first day, or a prorated amount if camp is closed after the first day. In all cases, the credit card processing fee will not be refunded.

Parent/Guardian's Signature*

Clear

Please verify that you are human*

My Products*

Camp Full FeeFull camp fee; refund as per policy

$250.00CAD

Camp Deposit onlyDeposit - non-refundable - remainder due May 15

$50.00CAD

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Clicking Submit will start a separate window for payment via PayPal or Credit Cards.

You have chosen to pay a deposit only. Please use this payment link (click and bookmark it now) to pay the remaining amount on or before May 15th, 2023.

You will need to enter your Invoice ID and your child's name when paying the remaining fee.

Invoice ID:

A CONFIRMATION email along with additional Information and camp reminders will be sent out to our registered athletes.

The Milton Sports Hall of Fame was Incorporated on March 10, 2016 under the Canada Not-For-Profit Corporation Act. The purpose of the Milton Sports Hall of Fame is to honour outstanding achievement in sports by athletes, sports teams and builders in our community. The Milton Sports Hall of Fame is located at the Milton Sports Centre.

The MILTON SPORTS HALL OF FAME is conducted 100% by volunteers from Milton and proceeds from this camp support the Induction Ceremony of the Class of 2023.

Athlete Registration Form

Guardian/Parent Information