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Junior  Clinic 2018-2019 Consent Form and Waiver

Program Discount & Make-up policies 

- Registration is not final until the payment has been processed.

- After registration is complete there are no switching of sessions allowed.

- If we move a player up to a different level and it changes the cost, you will receive the discounted rate for that program within the sessions that the discount was offered only

- There will be no refunds on any discounts taken after registration and payment is received. Please check your schedule carefully

- Early Discount and multiple session discounts only apply to a full 6 week registration

- If a player is injured and injury credit will be issued to the players account for future use towards the 2018-2019 junior clinic season only.

- Any credits given are only good for the 2018-2019 Junior clinic season.

- Please be aware that we do not follow the school closing policy in terms of holidays or snow cancellations. If the club does close, all clinic participants will be notified via email/text. You can also find an update on our Facebook page. Players will then be notified with the scheduled make-up date for missed class. 

MAKEUP:

We do understand that there are circumstances where missing your clinic is inevitable and we try to be as fair as possible with our make up policy. To help you find the best make up day and time, please inform program leader about your missed class at least 24 hours in advance prior to your scheduled clinic. Program leader will notify you of your make up options based on your availability. Only 1 make up allowed per person during the session the class was missed.

LOW SIGN UP OR CLINIC CHANGES:If fewer than 3 players participate in a clinic the club has the right to offer you alternative days/ times. If your child gets moved to a clinic with a longer duration with your permission, you will agree to pay the additional rate where applicable.


By signing this document, I accept all responsibility for my child/children and any resultant injury or mishap that may affect my child/children being or health in any way. I agree to release from all liability Upper Dublin Sports Center, its directors, employees and all representatives from and against all claims, actions, judgments, costs, expenses and demands with respect to injury, loss,death, or damage to my person or property in connection with them taking part in any of the programs I enroll my child in during the 2017-2018 season. It is understood and agreed that this agreement is to be binding on heirs, executors, administrators, assigns and myself. UDSC retains the right to use photographs of my child for media or advertising purposes without notice or compensation therefore. I certify that I have read the above statement and understand it. Intending to be legally bound hereby, I make this agreement.

 

 

First Participant's parent/legal guardian Name

First Name*

Middle Name

Last Name*
First Participant's parent/legal guardian Date of Birth*
I certify that I am 18 years of age or older
First Participant's parent/legal guardian School

School Attending 2018-2019 *
First Participant's parent/legal guardian Signature*
Second Participant's parent/legal guardian Name

First Name*

Middle Name

Last Name*
Second Participant's parent/legal guardian Date of Birth*
Second Participant's parent/legal guardian School

School Attending 2018-2019 *
Third Participant's parent/legal guardian Name

First Name*

Middle Name

Last Name*
Third Participant's parent/legal guardian Date of Birth*
Third Participant's parent/legal guardian School

School Attending 2018-2019 *
Fourth Participant's parent/legal guardian Name

First Name*

Middle Name

Last Name*
Fourth Participant's parent/legal guardian Date of Birth*
Fourth Participant's parent/legal guardian School

School Attending 2018-2019 *
Fifth Participant's parent/legal guardian Name

First Name*

Middle Name

Last Name*
Fifth Participant's parent/legal guardian Date of Birth*
Fifth Participant's parent/legal guardian School

School Attending 2018-2019 *
Sixth Participant's parent/legal guardian Name

First Name*

Middle Name

Last Name*
Sixth Participant's parent/legal guardian Date of Birth*
Sixth Participant's parent/legal guardian School

School Attending 2018-2019 *
Seventh Participant's parent/legal guardian Name

First Name*

Middle Name

Last Name*
Seventh Participant's parent/legal guardian Date of Birth*
Seventh Participant's parent/legal guardian School

School Attending 2018-2019 *
Eighth Participant's parent/legal guardian Name

First Name*

Middle Name

Last Name*
Eighth Participant's parent/legal guardian Date of Birth*
Eighth Participant's parent/legal guardian School

School Attending 2018-2019 *
Ninth Participant's parent/legal guardian Name

First Name*

Middle Name

Last Name*
Ninth Participant's parent/legal guardian Date of Birth*
Ninth Participant's parent/legal guardian School

School Attending 2018-2019 *
Tenth Participant's parent/legal guardian Name

First Name*

Middle Name

Last Name*
Tenth Participant's parent/legal guardian Date of Birth*
Tenth Participant's parent/legal guardian School

School Attending 2018-2019 *
Parent or Guardian's Email Address

Email*
A signed copy of this waiver will be sent to the email address you provide.
Parent or Guardian's Information

Parent or Guardian's Cell Phone *
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.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's School

School Attending 2018-2019 *
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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