2024 Youth Soccer Camp Registration - West Lafayette
June 17 - 20 @ the WL Athletic Complex
All K - 7th grade (from '23-24 school year) kids (co-ed) welcome!
  • K - 2nd: 5:30 - 6:30 p.m.
  • 3rd - 7th: 5:30 - 6:45 p.m.
Cost: $55 and includes a camp t-shirt

**Online Registration closes on 6/14**

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Email *
Parent/Guardian Name: *
Address: *
Parent/Guardian Phone *
Second Parent/Guardian Phone (optional)
Camper Name: *
Camper Grade (from 2023-2024 school year) *
Camper T-Shirt Size *
I HEREBY GIVE CONSENT FOR MY CHILD TO ATTEND THE 2024 WEST LAFAYETTE SOCCER CAMP
I give permission for my child named above to participate in the West Lafayette Community School Corporation (WLCSC) Summer Sports Camps. I understand that physical activity comes with inherent risks and I assume on behalf of the above-named child/children all risk of loss, damage or injury arising out of participation in the WLCSC Summer Sports Camps. On behalf of myself, the above-named child/children, my heirs, legal representatives and assigns, I hereby knowingly and intentionally hold harmless and release West Lafayette Community School Corporation, together with their respective directors, officers, affiliates, employees, officials, sponsors, and volunteers, from and against any and all claims, actions, suits and demands pertaining to or arising directly or indirectly out of any damage, loss, illness, injury, or death as a result of participation in these lessons including, without limitation, the negligence of WLCSC.

I authorize any representative of West Lafayette Community School Corporation to have the participant treated in any medical emergency during participation and I agree to pay all costs associated therewith.

Electronic Signature *
Date *
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ASTRA INSURANCE WAIVER
The undersigned, in my capacity as parent and/or legal guardian of the above named (child), hereby provides consent for my child to participate in the above named camp (event/activity).  I understand participation in this event/activity is inherently dangerous and that injury and illness (including communicable diseases such as Influenza, MRSA, Coronavirus, etc.) are possible.

I agree that I and my child will comply with the stated and customary terms and conditions for participation in regard to protection against injury and infectious disease, both to my child and to others. If I observe any unusual or significant hazard during my child’s participation, I will remove my child from participation and bring such to the immediate attention of an official. If I have reason to believe that my child may have become infectious, I will remove my child from participation until said risk has passed.

I agree to waive claims against West Lafayette Community School Corporation for any and all liability for injury or illness sustained by my child or any other person as a result of my child’s participation in the above named camp (event/activity), whether caused by the negligence of West Lafayette Community School Corporation or otherwise, and agree to hold harmless and indemnify West Lafayette Community School Corporation from said liability.

Electronic Signature *
Date *
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Cost of camp is $55/youth.  Payment options:

1. Mail check to: 
West Lafayette High School Athletics
Attn: Girls Soccer
1105 N. Grant St.
West Lafayette, IN 47906

In the memo of the check - list camper name(s) or add a piece of paper with name(s)

2. Drop off check or cash in the Athletics Office at Jr/Sr High. Place in envelope and include camper name(s) on outside of envelope. (this option may be challenging as the summer hours vary every day)

3. Pay first day of camp via cash or check

Checks payable to: West Lafayette Athletics

Select your payment option:
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A copy of your responses will be emailed to the address you provided.
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