REGISTRATION FORM AND RELEASE

Name ________________________ Phone Number _____________________

Address _______________________ City____________________ Zip__________

Fall Grade ________ Age _______ 

School ___________________________

Please sign below: I have read and hereby accept the considerations of my child's participation in the Red Oak Hawk soccer camp. I hereby agree that I will not hold Red Oak ISD, Oscar Lewis, Adam Prachyl or their staff responsible for any loss, damages, or personal injuries that my child may receive as a result of participation. This waiver of liability expressly includes transportation to and from or in connection with the camp. I also agree to follow all instructions and procedures in order to maintain a maximum level of safety. I also understand that the camp provides no medical insurance policy and that I should make sure my child is covered in the event of a serious accident. I also give my permission for any emergency medical care of treatment by a physician, surgeon, hospital, or medical care facility that may be required, and accept responsibility for the cost.

Signature of parent or guardian ______________ _______

Date ____________________

PLEASE FILL OUT THE FOLLOWING INFORMATION UNDER THE SHORT ANSWER OPTION.  Name, Phone Number, Address, City, Zip, School