Parental Consent: The application will not be processed without a tuition payment. Receipt of such payment certifies that the applicant (applicant's parent/guardian) has read and understands the following Birchwood Soccer School Policies in regard to medical attention, liability, medical expenses, personal items, refunds and cancellations and that a parent/guardian signature will accompany the Birchwood Soccer Schools Youth Health Examination Medical Form.
I hereby authorize the staff at Birchwood Soccer Schools to act for me according to their best judgment in any emergency requiring medical attention, and I hereby waive and release the Camp and its staff from any and all liability for any injuries incurred while at the Camp. I understand that participation in soccer and all other camp activities in a unique camp environment carries with it the risk of injury. All medical expenses incurred will be responsibility of the camper or the camper's family/guardian. The Camp is not responsible for personal items that are lost, stolen or damaged. I understand the Camp retains the right to use any photographs, videotapes, motion picture recording or any other record of the event for publicity, advertising or any legitimate purpose. I give permission for my son/daughter to be taken off the campsite for supervised outings (professional soccer game, etc.). I understand and accept the Birchwood Soccer Schools payment and refund/cancellation policy. I hereby agree to let my child participate in the sporting activities on this camp or program. I understand that there are certain risks of injury inherent in the practice and play of these sports, as well as in traveling and other related activities incidental to my participation, and am willing to assume these risks. I hereby certify that my child is fully capable of participating in these sports and that he/she is healthy and has no physical or mental disabilities or infirmities that would that would restrict full participation in this activity, except as included in writing with this application. In addition to giving full consent for my child's participation, I do hereby waive, release and hold harmless Birchwood Soccer Schools, inc., its officers, coaches, sponsors, supervisors and representatives for any injury that may be suffered by my child in the normal course of participation in these sports and the activities incidental thereto, whether the result of negligence or any other cause. I grant permission for my child to receive emergency medical treatment. I grant Birchwood Soccer Schools, Inc., permission to use photographic or video images of my child in future promotional materials. Any destruction of property will be liable to myself as legal guardian/parent.
I have read the
above release and I agree that by selecting ‘YES‘ in the box below
that I accept all terms & conditions as stated. I also attest that I
am a legal guardian of the children which I am registering. I also
approve my credit card to be charged for the amount indicated in the
'Total Fee Due' Box. |
