Cooks Hill Community Church Soccer Camp
Event Timing: July 17th-20th 8:30am-12:00pm
Event Address: 2400 Cooks Hill Rd Centralia wa 98531
Contact us at (360) 7366133 OR
Camper Name
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Birth Date
Health Issues /Allergies / Medical Concerns
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Parent/Legal Guardian Name
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Parent/ Legal Guardian Pone Number
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Liability Release
I understand that participation in the above event/activity could include actions which may be hazardous to the participant(s) named above. By signing below, I assume all risk of personal injury, sickness, death, damage and expense which might occur to the participant(s) due to his/her participation in the above event/activity. I release Cooks Hill Community Church, its employees, directors and volunteers from all liability, costs and damages which might arise from participation in the above named event/activity. If the participant(s) is(are) minor, I agree that the minor(s) has my consent to participate in the event. I further provide my consent for Cooks Hill Community Church, its employees, directors and volunteers to seek emergency treatment for the participant(s) if necessary. Including, but not limited to: doctor, walk-in-clinic, hospital or emergency room.
Liability Release Agreement
Permission To Photograph
I hereby give permission & Agree to allow Cooks Hill Community Church to take photographs and/or video my child. While participating in the Youth Soccer Camp & use such photographs for any lawful purpose. Including, but not limited to: publicity, advertising and illustration. I have read and understand the above.
Permission To Photograph Agreement
I agree to pay $5.00 Registration Fee Before or Upon arrival of Camp
Soccer Camp Will Start at 8:30am. Please have your camper here and ready on time with appropriate footwear and clothing for inside and outside soccer camp (tennis shoes, shorts/sweats, Tshirt). Kids should bring their own Water Bottle for hydration. There is an available free lunch at 12:00pm supplied by the summer meal program. All lunch participants must eat their lunch on Cooks Hill Community Church property.
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