Player Registration

KC Styx Summer Camp 2019

Option:  

Required  Price: 
Description: 
 = Required Field

 Player Information

 
 
 
 
  Select Month/Day/Year
                    
 
 School ('19-'20): 
 Emergency Contact 
 Emergency # 
 How many years has your child played field hockey?   
Comments 

 Release and Waiver

I understand that playing or participating in this camp may be a potentially dangerous activity involving risk of injury. I understand that in any contact sport, such as field hockey, an athletic participant can be seriously injured. I am aware that the dangers and risks of my child's playing or participating in this camp include, but are not limited to, falls, contact or collisions with other participants, equipment and facilities, and the effects of weather, including high heat and humidity.

I have certified to the director, by approving this waiver, that my child is in good health and physical condition and sufficiently able to participate in the above sport and the camp. I have advised the director of any limitations on my child's activities for medical reasons in writing below.

Knowing and having been informed of the potential dangers and risks associated with playing the above sport, and in consideration of my child being allowed to participate in the camp, I hereby agree on behalf of myself, my family members and my child to assume all such risks and, further, to waive, release, discharge and hold harmless Global Sports International, who are doing business as KC Styx Field Hockey Camp, its director and their respective employees from any and all liability, actions, causes of actions, claims or demands for personal injury and/or illness of any kind or nature, and any other claims whatsoever arising out of, or in any way connected with, my child's playing and participating in the above sport and camp. I fully understand that the camp participant will be held responsible for all property damage. This Release and Waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown.

I hereby consent to permit the coaches and staff working at the KC Styx Field Hockey Camp to provide emergency first-aid or medical treatment for my child, according to their best judgment, in the event he/she suffers an injury or illness while participating in the camp or on the camp premises.

The camp is not responsible for personal items that are lost, stolen or damaged. I also understand that pictures taken at camp may be used in any promotional materials

 Approval Signature   

 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

Registrations cancelled more than 14 days prior to the start of the camp will receive a refund of fees paid minus a $25 administrative fee.
Registrations cancelled between 1 and 14 days prior to the start of the camp will receive a refund of fees paid minus a $50 administrative fee.
Refunds will be given after the camp has begun will be at the Camp Director's discretion.

 Contact Info