Player Registration

Wisconsin College ID Me Camp

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 = Required Field

 Player Information

 
 
 
 
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  AGE GROUP ('19-'20) 
 
 
                    
Country of Birth: 
 
 
 School ('19-'20): 
 Player Type: 
 GPA: 
 ACT: 
 SAT: 
 Class Rank: 
 Grad. Date: 
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 Player Parents: 
 Player Email: 
 Emergency Contact 
 Emergency # 
Comments 


 Parent/Guardian Release

In consideration of being allowed to participate in any way in the College ID Me Program and athletics/sports programs on Woodside Sports Complex, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1. The risk of injury and/or illness from the activities involved in the program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist;

2. The risk to have contact with individuals, who have been exposed to and/or have been diagnosed with one or more communicable diseases, including but not limited to COVID-19 or other medical conditions, diseases, or maladies does exist, and it is impossible to eliminate the risk that I could be exposed to and/or become infected through contact with or close proximity with an individual with a communicable disease;

3. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume all full responsibility for my participation;

4. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and

5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS THE PARKVILLE ATHLETIC SPORTS CLUB, COLLEGE ID ME, WOODSIDE SPORTS COMPLEX, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of the premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

6. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, BEFORE ACKNOWLEDGING THE CHECKBOX BELOW, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT ON MY OWN BEHALF OR ON BEHALF OF THE YOUTH PARTICIPANT ASSOCIATED WITH THIS GUARDIAN ACCOUNT, AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

By acknowledging and agreeing to the checkbox below, I agree and verify the following:

1) I consent and agree to assume the risks of participation in these programs; and

2) that I specifically agree to the release as provided herein of all the Releasees, and, for myself, my heirs, assigns and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my involvement or participation in these programs EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. ACKNOWLEDGMENT BY PARENTS AND/OR LEGAL GUARDIANS OF YOUTH PARTICIPANTS:

By acknowledging and agreeing to the check box below, I agree to and verify the following:

1) I am the parent or legal guardian for the youth participant associated with this guardian account,

2) that the date of birth of the youth participant associated with this guardian account is correct,

3) My child has received a physical examination by a physician and has been passed healthy and capable of participating in all programs. I recognize the possibility of physical injury associated with soccer and I hereby give my consent to medical treatment by an athletic trainer and/or doctor of medicine and/or dentistry,

4) that as parent/legal guardian with legal responsibility for this youth participant, I consent and agree to assume the risks of his/her participation in these programs; and

5) that I specifically agree to his/her release as provided herein of all the Releasees, and, for myself, my heirs, assigns and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to this youth participant's involvement or participation in these programs as provided above EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE,

Every effort will be made for any cancellation after the start of camp, delay, missed training sessions resulting from circumstances beyond the control of College ID Me, Woodside Sports Complex. Due to the window of time and schedule it may result in sessions not being made up. I have read the above and understand that I/we have given up substantial rights by signing this release at our own freewill.

 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

All refunds will be minus an administrative fee. All refunds will be issued at the conclusion of the camp. If the camp does not run due to any COVID-19 local government enforced regulations or restrictions, you will receive a full refund.

 Contact Info