Toddler Runaround Signup Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Child's Name*

Birth Year*

STARTING JULY 8th and JULY 10th

EVERY TUESDAY AND THURSDAY ON

10:00 AM to 12:00 PM

Recognizing the possibility of physical injury associated with sport and in consideration for the OceanSide Sports accepting the registrant for its activities, I hereby release, discharge and/or otherwise indemnify OceanSide Sports, their employees and associated personnel, including the owner of fields and facilities utilized for the facility against any claim by or on behalf of the registrant as a result of the registrant’s participation in OceanSide Sports Program and/or being transported to or from the same, which transportation I hereby authorize. My son has received a physical examination by a physician and has been found physically capable of participating in sport. I hereby give my consent to have an athletic trainer and/or doctor of medicine or dentistry provide my son with medical assistance and/or treatment and agree to be responsible financially for the reasonable cost of each assistance and/or treatment.Furthermore, on occasion, pictures will be taken of the players and teams for advertising purposes and may be posted on our Instagram account, Facebook account and website. By submitting this form you agree to allow your child's picture to be displayed on our social media outlets. WAIVER/RELEASE/ASSUMPTION OF RISK FOR COMMUNICABLE DISEASES INCLUDING COVID-19In consideration of being allowed to participate in programs, related events, or activities offered by OceanSide Sports including the right to enter the undersigned acknowledges, appreciates, understands, and agrees that:1. Participation includes possible exposure to, and illness from, infectious diseases including but not limited to MRSA, influenza, and COVID-19 (collectively “Infectious Diseases”). While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist;2. OceanSide Sports cannot prevent you or your child(ren) from becoming exposed to, contracting, or spreading Infectious Diseases while participating in OceanSide Sports programs. It is not possible to prevent against the presence of Infectious Diseases. Therefore, if you choose to utilize services you may be exposing yourself to Infectious Diseases and or increasing your risk of contracting or spreading Infectious Diseases; 3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against Infectious Diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation, and bring such to the attention of the nearest Mussels official immediately; 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, HOLD HARMLESS, AND AGREE TO INDEMNIFY OceanSide Sports, their officers, directors, officials, agents, employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the programs (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law; 5. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS PERTAINING TO INFECTIOUS DISEASES, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participationFOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law. *

My Products

TODDLER RUNAROUND REGISTRATION

Single visit drop-in cost

$15.00 Quantity

TODDLER RUNAROUND REGISTRATION

10 Visit Punch Card

$100.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

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