Summer Saves Session Registration

Summer Saves Session Registration

Dates: June 13&27, July 11&25, August 8&25
Athlete Information
Athlete's Name

First NameLast Name
Gender

MaleFemale
Date of Birth

DayMonthYear
Date
Level of Play
EX: ECNL, GA, MLS Next, TX2, Frontier, DPL
Pricing - Payments will be made through Venmo, Zelle, or Cash

$80 per session or $420 for 6 Summer Series *NO REFUNDS*
Select Dates - Below (We will follow up via email with next steps)

June 13thJune 27thJuly 11thJuly 25thAugust 8thAugust 29thAll Remaining Sessions
Payment Type

CashVenmoZelle
Parent/Guardian Information
Name

First NameLast Name
Cell Number
Please enter a valid phone number.
Email
example@example.com
Emergency Contact Information
Name

First NameLast Name
Relationship to Player
Cell Number
Please enter a valid phone number.
Does the Athlete have any allergies, chronic illness, or medical conditions. If yes, please describe.
Is the athlete prescribed an inhaler? If yes, please explain any instructions.
Informed Consent and Acknowledgement
I hereby provide my consent for my child's participation in all activities organized by the soccer camp during the chosen camp session. By accepting my child's participation, I acknowledge and accept all the potential risks and hazards associated with these activities. I release, exempt, and indemnify the soccer camp and all its officials, representatives, and agents from any responsibility for injuries that may occur to my child during their travel to, engagement in, or return from the camp sessions.

If my child sustains an injury, I waive any claims against the soccer camp, including its coaches, affiliates, fellow participants, supporting organizations, advertisers, and, if applicable, the owners and landlords of the premises where the event is held. Engaging in sports activities, including soccer, inherently carries a risk of injury, which may include but is not limited to fractures, paralysis, or even fatality.
Medical Release and Authorization
As the legal guardian of the youth athlete listed, I hereby grant permission for qualified and licensed medical professionals to diagnose and administer treatment in the event of a medical emergency. This authorization is applicable when, in the medical professional's judgment, immediate attention is necessary to prevent further harm to the minor child's life, physical appearance, physical functionality, or to alleviate undue pain, suffering, or discomfort should there be a delay in treatment.

I hereby give consent to the attending physician to undertake any necessary medical or minor surgical procedures, conduct X-ray examinations, and administer immunizations to the youth athlete named. In cases of a serious illness, the requirement for major surgery, or significant accidental injury, I am aware that the attending physician will make every reasonable effort to contact me as swiftly as possible before proceeding with treatment. This authorization is granted after a reasonable attempt has been made to reach me.

I also authorize the affiliated individuals, including Directors, Coaches, and Team Parents, to provide essential emergency treatment before the child is admitted to a medical facility.

This consent is valid during the dates and for the duration of the registered season. I willingly provide this authorization to ensure prompt medical treatment under emergency circumstances, safeguarding the life and well-being of the named minor child when I am not present.
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Summer Saves Session Registration

Athlete Information

Pricing - Payments will be made through Venmo, Zelle, or Cash

Parent/Guardian Information

Emergency Contact Information

Informed Consent and Acknowledgement

Medical Release and Authorization