ESM SUMMER CAMP 2023 
Welcome to our summer camp registration! ESM will be having 4 weeks of camp this summer! 
July 4 - 7 
July 10 - 14 
August 7 - 11
August 14 -18
Location: Academy Field 
Time: 9am - 12pm 
$100 per week | Discount for 2+ weeks 
Sign in to Google to save your progress. Learn more
Parent Email *
Parent Name *
Parent Cell Number *
Additional Emergency Contact (Name & Number) *
First Name  *
Last Name  *
Date of Birth (please double check year) *
MM
/
DD
/
YYYY
Age  *
Please select the camp you would like to register for. Select as many as apply.
*
Required
Parent Waiver: The parent(s)/legal guardian(s) of the minor child listed above hereby voluntarily release, waive, relinquish and discharge ESM Ltd. and all affiliated organizations and their officers, coaches, athletes, directors, representatives, volunteers and agents from any and all liabilities, claims, suits, actions or causes of actions (whether anticipated or unanticipated) arising out of any and all actions, injuries, illness, death or damages of any nature incurred while participating in ESM Football Camps. The parent(s)/legal guardian(s) is solely responsible for providing for its own medical insurance for the players listed on this form and shall hold harmless ESM from any and all claims arising from their participation. The parent(s)/legal guardian(s) confirm an understanding of the inherent risks of football, and the current risks of Covid19. Signature also indicates permission for those use of photograph images taken during the camp for promotional purposes.
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Fabri-Zone.

Does this form look suspicious? Report

Google Forms