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2022 Camp Waiver


 

(No participation will be accepted without completing this form) - MULTIPLE SIGNATURES REQUIRED

 

Disclaimer of Liability

Premier Sports Camps / Elite 11 Soccer Camps, its affiliate schools/universities and its staff do not assume liability for any injuries incurred while at camp or on the way to camp. Parents or Guardians should contact their own insurance carrier to get additional insurance for the camper, if necessary. As a condition of enrollment, the following disclaimer of liability must be signed and dated by the camper's parent or guardian.

 

The camper in attending the Elite 11 Soccer Camps / Premier Sports Camps does so at his or her own risk. Premier Sports Camps / the Elite 11 Soccer Camps, and its officers, agents and staff shall not be liable for any damages arising from personal injury sustained by the camper while at or on the way to and from camp. The camper and his or her parents or guardians assume full responsibility for any damages or injuries which may occur to the camper during the session and so hereby full and forever exonerate and discharge Premier Sports Camps / the Elite 11 Soccer Camps, its officers, agents and staff from any and all claims, demands, damages, rights of action or causes of action, present or future, whether the same be known, anticipated or unanticipated, resulting from or arising out of the camper's participation in the camp.

 

Signature of Parent or Guardian:

 

Photo Release:

I herby grant permission to the Elite 11 Soccer Camps / Premeir Sports Camps the right to use, reproduce, and distribute photographs, films, videotapes, and sound recordings of my child, without compensation or approval rights, for use in materials created for purposes of promoting the activities of the Elite 11 Soccer Camps / Premeir Sports Camps.

 

Signature of Parent or Guardian:

 

Permission for Transportation:

I will and do allow members of the Elite 11 Soccer Camps / Premier Sports Camps to transport my child by motor vehicle to and from the supplemental fields and/or other necessary facilities. Members of the staff of the / Premier Sports camps will not be held liable either individually and/or collectively for any injuries that may occur during transportation to or from these facilities. It is understood that all staff members of the Elite 11 Soccer Camps / Premier Sports Camps will take the utmost precautions to ensure the safety of camp participants at all times.

 

In addition, the camper in attending the Elite 11 Soccer Camps / Premier Sports Camps does so at his or her own risk. Premier Sports Camps and its officers, agents and staff shall not be liable for any damages arising from personal injury sustained by the camper while at or on the way to and from camp. The camper and his or her parents or guardians assume full responsibility for any damages or injuries which may occur to the camper during the session and so hereby full and forever exonerate and discharge Premier Sports Camps/ the Elite 11 Soccer Camps, its officers, agents and staff from any and all claims, demands, damages, rights of action or causes of action, present or future, whether the same be known, anticipated or unanticipated, resulting from or arising out of the camper's participation in the camp.

 

Signature of Parent or Guardian:

 

Please select who will be participating...
AdultMinor
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First Camper's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
First Camper's Date of Birth*
Date of Birth
First Camper's Signature*
Camper's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address
Email*
Confirm Email*
Medical Treatment Permission

I, the undersigned parent (guardian), do hereby authorize the athletic trainer or his designate at the camp to secure any and all necessary medical treatment. I understand that the School/University and Premier Sports Camps will attempt to contact the parent before treatment is initiated. If the School/University and Premier Sports Camps cannot reach the parent, I authorize the attending physician to render any and all medical care which he/ she deems necessary.

(Check if you Decline)
Please initial this box if you do not want your child to receive over-the-counter medications.
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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