Individual Player Registration

EASTSIDE TIMBERS SOCCER CLUB

Option:  

Required  Price: $150.00
Description: All Players
 = Required Field

 Player Information

 
 
 
 
  Select Month/Day/Year
 
 Emergency Contact 
 Emergency # 
Comments 


 Approvals

I (Parent/Guardian) attest that the below Participant is in the proper physical condition and has no disability, impairment, or ailment that prevents him/her from engaging in exercise or sports activities. I (parent/Guardian) have been advised to consult a physician regarding Participants' engagement in The 1v1 Formula . I (Parent/Guardian) understand there is a risk of injury or death by participation in The 1v1 Formula activities, and I (Parent/Guardian) assume and acknowledge such risk. The Participant has my (Parent/Guardian) permission to participate in training and competition events led by The 1v1 Formula. I (Parent/Guardian) approve of the leaders in charge of this program and understand they will serve to their ability. To the best of my knowledge, I (Parent/Guardian) also certify that the Participant is physically fit to engage in the activities described above. If the Participant becomes ill or sustains an injury during activities, I (Parent/Guardian) hereby authorize The 1v1 Formula personnel to act on my behalf to obtain care for said Participant, and I (Parent/Guardian) accept all financial responsibility for such care. I (Parent/Guardian) voluntarily release and forever discharge and covenant not to sue The 1v1 Formula or related personnel from all liability claims, demands, actions, or right to act which are related to arising out of or are in any way connected with the Participant's participation in The 1v1 Formula activities. Further, I (Parent/Guardian) agree, promise, and covenant to hold harmless and indemnify The 1v1 Formula and related personnel from all defense costs, including attorney's fees, or from any other expenses incurred in connection with claims for bodily injury or property damage which the Participant may cause to spectators or third parties in the course of the Participant's participation in The 1v1 Formula activities. I (Parent/Guardian) acknowledge that I have carefully read this waiver and release and fully understand that it is a release of liability. By signature below, I (Parent/Guardian) am waiving any right that I may have to bring legal action to assert a claim against The 1v1 Formula and its personnel. I (Parent/Guardian), at this moment, grant full permission to any and all of the foregoing to use participants in any broadcast, telecast, video, or print media reporting or advertising without compensation. I grant permission for my child to participate in The 1v1 Formula program. As a parent and legal guardian, I remain legally responsible for any personal action the below-named minor (Participant) took.


 CONTACT INFORMATION

GUARDIAN #1

 
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 
GUARDIAN #2 (optional)

 
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 

 Refund Policy

Only the legal guardian of a participant has the authority to request a refund.  Due to the planning required prior to this event we have listed our refund options:

There will be NO REFUNDS given to any individuals after the start of the camp.
There is a 25% non-refundable fee for cancellations made 8 days prior to camp.
There is a 50% non-refundable fee for cancellations made less than 8 days prior to camp.
Full refunds due to injury, illness will be honored with a doctors note or hospital record of the injury/illness.
Fell refunds due to camp cancellation will be honored.
 
The simplest way to cancel a camp registration is to email info@the1v1formula.com with participant name, camp location and date enrolled in, and registration/confirmation number.  We are not held responsible for any change or cancellation charges required by airlines, travel agencies, or other institutions.

 Contact Info