Freddi's Football Camp Registration Form

Freddi's Football Camp Registration Form

School Holidays January 2026
Player Information
Player's Name*

First NameLast Name
Birth Date*

MonthDayYear
Age Group
Gender

MaleFemale
Select venue and days
Westlake Girls High School - 9 AM to 1 PM

Thursday 22 January 2026 - $100/dayFriday 23 January 2026 - $100/dayFull program (Both days) - $200
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Information
Name*

First NameLast Name
Home Number
Cell Phone Number*
E-mail*
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Alt. Phone Number
Does the player have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the player 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 football 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 football 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 football 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 football, inherently carries a risk of injury, which may include but is not limited to fractures, paralysis, or even fatality.
Payment

An invoice will be sent to your email before the starting date. Bookings are only confirmed once payment is received.
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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Freddi's Football Camp Registration Form

Select venue and days

Payment