Reform Sports Summer Camp Registration

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Camp Dates *

JUNE 7-10 ELEMENTARY GRADES 2-5 (40 PARTICIPANT MAX)

JUNE 14-17 - HIGH / MIDDLE SCHOOL BOYS GRADES (9-12) OR (6-8) (20 PER DIVSION)

JUNE 21-24 - HIGH / MIDDLE SCHOOL GIRLS GRADES (9-12) OR (6-8) ( 20 PER DIVISION)

CAMP HOURS - MONDAY - THURSDAY - 9AM -12:30PM

Otro:

Name *

Height *

Grade *

2nd

3rd

4th

5th

6th

7th

8th

9th

10th

11th

12th

School *

Skill Level *

Beginner

Intermediate

Advanced

Age *

Parent/Guardian Name *

Phone *

Medical Conditions *

Membership *

Yes

Waiver *

I give consent for photographs & video in which my child may appear, to be used in any way the RST may care to use them.

I understand that RST is not a licensed day care facility and that staff will not physically restrain children who insist on leaving without parent permission.

I understand that failure to abide by the policies of RST may result in the removal of any member from RST facility.

In consideration of said minor being permitted to enter Reform Sports Training (“RST”) for observation, use of facilities and/or equipment or participation in any program, I hereby:

Acknowledge that (I) I have read this document, (ii) I have inspected the facilities and equipment, (iii) I accept them as being safe and reasonably suited for the purposes intended, and (iv) I voluntarily sign this document. Releases RST, its directors, officers, employees, volunteers, governing board, agents, representatives from all liability to me for any loss or damage to property or injury or death to person, whether caused by RST or by any person associated directly or indirectly with RST, its officers, directors, employees or volunteers or otherwise while participating in any RST activity.

Agree not to sue the following ( RST, Team Thad, Thaddeus Young) for any loss, damage, injury, coronavirus (Covid-19), or death described above and indemnify and hold harmless releases and each of them from any injury to persons or property sustained by any person caused by any act, neglect, default, or omission of the undersigned or of any person associated directly or indirectly by him upon or in connection with this activity or whether caused by the negligence of the RST or otherwise, whether the said injury or damage occurs upon or adjacent to the property. The undersigned at his own cost, expense and risk shall defend any and all actions, suits or other legal proceedings that may be brought or instituted against RST on any such claim or demand, and pay or satisfy any judgment that may be rendered against RST in any such action, suit or legal proceedings or result thereof.

I assume full responsibility for, and risk of, bodily injury, death or property damage due to the negligence of RST or otherwise.

Obligatorio

Payment *

$200

Member Discount - See staff

Cash

Debit/Credit

Check

Fees must be paid to confirm spot

Otro:

Obligatorio

Parent/ Guardian E Signature *

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