2022 Helena Huskies Soccer Camp
Please fully complete the prompts below.  Any blanks that do not apply please enter N/A.   Camp Dates/Times June 6th-10th from 8 AM- 12 PM daily drop offs begin at 7:45 am. Please pick up your player no later than 12:15.  Drinks will be available, players should bring any snacks or additional drinks they may want during the session. All Players Must Wear Shin Guards daily.
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Email *
Camper Info
Player First Name *
Player Last Name *
Nick Name/ Preferred Name
Gender *
Player Date of Birth *
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School
Grade Entering 2022-2023 School Year *
Preferred T-Shirt Size
Camp organizers will do everything possible to ensure your selection is filled.  Please understand that because shirts are ordered only a few days prior to camp sometimes quantities do not match the total order and therefore your camper may receive one size variation different than requested.  Any camper registering less than 5 days prior to camp's start may be delayed in receiving a shirt.  The t-shirt is free and has no value as it relates to the camp fee.
Choose One *
Contact Info
Primary Phone Number *
Type of Phone *
I give permission to text to the above phone if a cell with information and updates about camp *
Secondary Contact Number In Case of Emergency and No Answer at Primary Number *
Primary Contact Email *
I give permission to email camp information and updates to the above address.  I understand there will be no spam or solicitation sent by agreeing. *
Parent/Guardian Name *
Relationship to Player *
I give permission for the following list of people to pick up my child.
Please list anyone other than the above listed Parent /Guardian that you authorize to pick up your player from camp.  If they are not named we will be unable to release your player to anyone besides listed Parent/Guardian(s)
Emergency Info
Doctor Name and Number *
Dentist Name and Number *
Please List Any Known Medical Conditions that are applicable to playing soccer
Waivers and Agreements
My child is physically able to participate in periods of running, participation outdoors in the heat, and other activities related to the sport of soccer. *
I give permission for my child's image to be used individually or in a group as photos or videos on social media sent by the camp on their closed groups as well as to be shared with other campers and their families *
I understand it is my responsibility as a parent to make sure my player arrives with shin guards each day and understand that his/her participation may be limited if he/she does not. *
Participation Permission and Waiver/Release *
I give the player listed in this form my/our permission to participate in camp.  I verify that he/she is covered by medical and hospitalization insurance and release the organizers of this camp from reimbursement for medical bills and damages sustained on account of any injury which may occur to my child.  He/she has been examined by a qualified physician and is physically able to participate in soccer activities. I understand that playing soccer has the risk of injury.  I release and hold harmless Helena High School, Shelby County School System,  including employees, officers, agents, and hosting facilities from any damages or liability that may occur while my child is participating in summer camp.
Parent/Guardian Signature 1 *
By electronically entering my name to this form I agree to representation of an actual signature that binds me to the statements in "Participation Permission and Waiver/Release" and furthermore acknowledge that all the information entered into this form is truthful.
Refunds *
I understand that refunds shall only be issued if notified 72 hours prior the the start date of camp at cnaron@shelbyed.org  Helena Huskies Soccer Camp will be happy to work with you should an emergency or unintended circumstance occur.  No partial refunds will be given. No refund will be given for no shows.  No refunds will be issued due to COVID once camp starts. Any refunds that are issued may take 2-3 weeks for processing
How did you hear about Camp *
Payment Options
BE SURE TO SUBMIT THIS REGISTRATION FORM
If opening the myschoolbucks payment link below to pay be sure you return here to submit your form all other forms of payment simply submit after making your selection
Camp Fee is $130 + $5 if paying the day camp begins *
Please Make Checks  Payable to HHS or Helena High include the campers name on the for line and Soccer.  Drop off at Helena High School attention Coach Naron or mail to Helena High School , Attention Coach Naron ,1310 Hillsborough Parkway Helena AL 35080.  A $25 fee will be charged for any return checks due to insufficient funds.
Link to Pay Debit or Credit at  Myschoolbucks.com,
https://www.myschoolbucks.com/ver2/prdembd?ref=ZZI5ZTOEOE04ZCW_ZZ5U2RX4C1ERQU7
A copy of your responses will be emailed to the address you provided.
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