Caroll Family Foundation 7-on-7 Tournament

PARENT INFORMATION

Parent Name*

First NameLast Name

Parent Phone Number *

Please enter a valid phone number.

Parent Email Address *

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

CAMPER INFORMATION

Student Name*

First NameLast Name

Team Name/School

Student Birthday

Date

Gender

Phone Number (if different from parent)

Email (if different from parent)

Waiver/Release of Liability

RELEASE OF LIABILITY WAIVER

I, ______________________________________________, am the parent or legal guardian ("Parent/Guardian") of _________________________ ("Camper") a minor camper registered to attend the Caroll Family Foundation Elite 7 - on - 7 Tournament (the "Camp"). In consideration of the Camper being permitted to participate in the Camp, except where prohibited or limited by applicable law or due to gross negligence or willful misconduct, I hereby waive, release, forever discharge, and agree to hold harmless Athletes Charitable (a division of United Charitable) and any affiliates, subsidiaries, directors, officers, employees, volunteers, independent contractors, agents, assignees, representatives, property owners, lessors of premises used to conduct events, assistants, medical personnel, sponsoring agencies, sponsors, advertisers, owners, and successors in interest (collectively, “Released Parties”) from any and all claims, actions, liability, and/or demands (“Claims”) for bodily injury, property damage, wrongful death, loss of services, disability or otherwise, which may arise out of the my child’s participation in the Camp or which may arise out of my child’s travel to or participation in and returning from any activity associated with the Camp. This Release/Waiver is understood to also be in effect with respect to, and to include any persons who may be engaged in, the transportation, treatment or attending to, or accompanying my child to any facility for medical treatment, on the same basis and terms as stated above. I further agree to hold harmless and indemnify the Released Parties from any Claims resulting in any way from my child’s or my acts or omissions.

I have signed this Release/Waiver in full recognition and appreciation of the dangers, hazards, and risks of participation, which dangers include but are not limited to heat stress, heat exhaustion, heat stroke, muscle sprains, muscle strain, broken limbs, teeth etc., and which could include serious or even mortal injuries or property damage. I understand that the Camp involves participation in intense physical drills, and that the Camper may be subjected to physical injuries, some of which may be severe. I have fully discussed the aforementioned risks and hazards with Camper. I certify that Camper is in good general health and is physically able to participate in all activities of the Camp, including its sports activities. I consent that Camper may be taken to the nearest hospital or another appropriate facility for emergency medical treatment in the event of an injury.

Confirmation By acknowledging and signing below I agree that I am delivering an electronic signature that will have the same effect as the original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.

Parent Signature*

Type Name (First and Last)*

Photo Release

I __________________________________, grant permission to Athletes Charitable (a division of United Charitable) and Carroll Family Foundation to take and use visual/audio images of me and my child, in conjunction with Camper’s participation in the Gelof Brothers Youth Sports Camp. Visual/audio images are any type of recording, including photographs, digital images, drawings, renderings, voices, sounds, video recordings, audio clips or accompanying written descriptions. I agree that Athletes Charitable owns the images and all rights related to them. The images may be used in any manner or media without notifying me, such as in Athletes Charitable sponsored websites, publications, promotions, and print materials. I waive any right to inspect or approve the finished images or any printed or electronic matter that may be used with them. I release Athletes Charitable (including any firm authorized to publish or distribute a finished product containing the images) from any claims, damages, or liability which I may ever have in connection with the taking or use of the images or printed materials used with the images.

Confirmation By acknowledging and signing below I agree that I am delivering an electronic signature that will have the same effect as the original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.

Parent Signature

Type Name (First and Last)

Elite 7 - on - 7 Tournament Registration