2017 Summer Camp Registration Form
HP Elite Soccer Club
Email address *
Player First Name *
Your answer
Player Last Name *
Your answer
Birth Year *
Your answer
Camp Program *
Gender *
Birthdate *
T-Shirt Size *
Parent Name *
Your answer
Parent Phone Number *
Your answer
Parent Email *
Your answer
Second Parent Name
Your answer
Second Parent Email
Your answer
Second Parent Phone Number
Your answer
HP Elite Soccer Club Waiver- By clicking the button below you agree to the following terms *
I warrant and acknowledge that I am the parent or legal guardian of the player named above, a minor ("Player") and that I am authorized on behalf of myself, Player and our heirs, assigns and next of kin, to hereby enter into the following agreements IN CONSIDERATION OF Player’s being able to participate in any way at try-outs, training, games, tournaments, or any other activities ("EVENTS") sanctioned by HP Elite Soccer Club ("Elite"). DISCLAIMER, ASSUMPTION OF RISK AND WAIVER: I acknowledge that participation in soccer necessarily involves travel, play in adverse field conditions, contact with considerable force, and risk of severe, permanent physical injury including bruises, scrapes, strained, sprained or torn muscles, tendons or ligaments, broken bones, dislocation of joints, concussion, brain damage, nerve and spinal cord injury, paralysis and death. I WILLINGLY AND VOLUNTARILY ASSUME ALL SUCH RISKS. I willingly and voluntarily agree to comply with the stated and customary terms and conditions for participation and, if Player or I observe any concern in Player's readiness for participation in the EVENTS, I will remove him/her from participation and bring such concern to the attention of the nearest official immediately and also of the regional commissioner as soon as possible thereafter. I HEREBY RELEASE, DISCHARGE AND AGREE TO HOLD HARMLESS, to the fullest extent permitted by law, Elite, its players, employees, directors, officials, sponsors and other representatives and any and all owners, lessors, lessees or other persons or entities allowing, permitting or authorizing the use of facilities by, Elite and their agents, employees, officers and directors of said persons or entities ("RELEASEES") from any and all claims, demands, costs, expenses and compensation arising out of or in any way related to an injury or other damage that may result to said participant or to members of my family or my household or individuals I invite or for whom I am otherwise responsible while participating in or present at any of the EVENTS, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. I further acknowledge and accept that this Disclaimer, Assumption of Risk and Waiver is intended to be as broad and inclusive as permitted by the laws of the state in which we live and agree that if any portion of this Disclaimer, Assumption of Risk and Waiver is deemed to be invalid, the remainder will continue in full legal force and effect.
A copy of your responses will be emailed to the address you provided.
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