Summer Camp Detailed Registration Form

Summer Camp Registration
Athlete Information
Athlete's Name

First NameLast Name
Birth Date

MonthDayYear
Gender
Uniform size
Parent/Guardian Information
Name

First NameLast Name
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by 297 Soccer Academy during the selected camp. In exchange for the acceptance of said child’s candidacy by 297 Soccer Academy, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless 297 Soccer Academy and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against 297 Soccer Academy including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including soccer.
Confirmation

To confirm your registration, please ensure your payment is made to the following account:

297 Soccer Academy
Aruba Bank Account Number: 6007980190

After completing the transfer, kindly send a copy of the payment confirmation to 561-3880.
Date

MonthDayYear
Date
Signature
Should be Empty:

Summer Camp Registration

Athlete Information