Event registration
Event Timing: June 8th, 2024
Event Address: 1401 Griffin Rd. Lakeland, FL 33810
Contact us at 863-602-4233 0r Krstewart56@gmail.com
E-mail *
The undersigned parent or guardian hereby consents to my child (Enter child/children names below) participating in The Storm Football Camp, an event sponsored by Victory Christian Academy on Saturday, June 8th, 2024 *
In the event that an emergency occurs, I may be reached at the telephone number listed below: *
In the event that an emergency occurs, if I cannot be reached, I hereby authorize (Enter name below) to make emergency medical decisions for my child. *
I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED ON SAID ACTIVITY, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT TEHRETO.  I do hereby agree to hold Victory Christian Academy and its agents and employees, harmless from any and all liability, actions, causes of action, claims, expenses, and damages on account of injury to my child or property, even injury resulting in death, which I now have or which may arise in the future in connection with the activity or participation in any other associated activities. I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Florida and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.  This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND SIGN THIS RELEASE AS MY OWN FREE ACT.  This is a legally binding agreement which I have read and understand (Enter Parent or Guardian Name) *
Medications and medical conditions of which to be aware: 
I do not wish my child to participate in the following:
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