Summer Camp Registration

Parent/Guardian Information

Emergency Information

Informed Consent and Acknowledgement

I hereby grant permission for my child to participate in all activities organized and conducted by Alamo Soccer Academy during the selected camp.

In consideration of my child’s acceptance and participation, I acknowledge and assume all risks and hazards associated with these activities, including those incidental to travel to and from camp sessions. I hereby release, waive, and hold harmless Alamo Soccer Academy, along with its directors, officers, coaches, staff, agents, and representatives, from any and all liability for injuries, damages, or losses that may arise as a result of my child’s participation.

In the event of injury or illness, I waive all claims against Alamo Soccer Academy, its coaches, affiliates, participants, sponsoring organizations, advertisers, and, where applicable, the owners or lessors of the facilities used for camp activities.

I understand and acknowledge that participation in sports, including soccer, involves inherent risks. These risks may include, but are not limited to, minor injuries, serious bodily injury, fractures, permanent disability, paralysis, or even death.

By signing below, I confirm that I have read, understand, and voluntarily agree to the terms outlined in this Informed Consent and Acknowledgement.

Medical Release and Authorization

As the parent and/or legal guardian of the named athlete, I hereby authorize any qualified and licensed medical professional to evaluate, diagnose, and treat my minor child in the event of a medical emergency. This authorization applies when, in the opinion of the attending medical professional, immediate care is necessary to prevent further risk to the child’s life, potential physical disfigurement, impairment, or undue pain, suffering, or discomfort that may result from delay.

I grant permission to the attending physician to administer appropriate medical care, including but not limited to medical treatment, minor surgical procedures, X-ray examinations, and necessary immunizations for the named athlete.

In the event of a serious illness, major injury, or the need for significant surgical intervention, I understand that every reasonable effort will be made to contact me as quickly as possible. This authorization shall be exercised only after reasonable attempts to reach me have been made.

I further grant permission to Alamo Soccer Academy, including its directors, coaches, staff, and designated team representatives, to provide or arrange for necessary emergency care for my child prior to admission to a medical facility.

This authorization is valid for the duration of the registered season and/or the dates of participation.

I acknowledge that this release is executed voluntarily and with full understanding, for the sole purpose of ensuring prompt medical treatment in emergency circumstances for the protection of the health and well-being of my minor child in my absence.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

​​Zelle: Danny Mena: dm32011@gmail.com

Venmo: https://venmo.com/code?user_id=4346149574019001842&created=1748960993