Guardian's Name:*
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# AttendingConcert & Barbecue on Friday June 28th*
Child 1 Name:*
Child 1 Birth date: (mm/dd/yy)*
Child 1 T-Shirt Size:
Child 2 Name:
Child 2 Birth date: (mm/dd/yy)
Child 2 T-Shirt Size
Child 3 Name:
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Please read the following carefully: METHOD OF PAYMENT: The cost of the camp is $25 and is required with your registration form. (See cancellation policy below). Cost includes a soccer camp t-shirt, snacks, and coached sessions. Make checks payable to: "New Hope Lutheran Church¯" and on the memo line indicate “Soccer Camp 2013"¯ Send your registration and payment to: New Hope Lutheran Church Re: Soccer Camp 2013 5970 Douglas Ave. Racine, WI 53402 A cleared check on your bank statement will be your registration confirmation. Registrations will be taken on a first come, first served basis, so mail your registration form in early. Deadline for registration is June 10th, 2013. THE PARTICIPANT IS RESPONSIBLE FOR BRINGING HIS OR HER OWN SHIN GUARDS, WATER BOTTLE, AND SOCCER BALL (IF PARTICIPANT OWNS A BALL) For additional information on the camp or for any questions, contact Pastor Janke at 262-822-2544 or Pastor Zarling at 262-994-2711 THE PARTICIPANT IS RESPONSIBLE FOR HIS OR HER OWN MEDICAL COVERAGE NOTICE OF WARNING: There is a potential risk in training and participating in any sport, and we have tried to create a safe environment. The coaches have established rules for participation, and proper conduct on or about the playing field must be followed. AGREEMENT: I have read and understand the policies and the risk involved. I hereby agree that my children will follow all rules for good order and safety during this camp. I agree and understand that neither New Hope Lutheran Church, nor any of the volunteers involved are liable for any injuries received while participating or playing in the activity for which I am registering herein, or for the loss or damage to equipment. I agree that I shall make no claim and bring no action, suit, or proceeding for any and all damages, losses, liabilities, or costs in any manner suffered or incurred as a result of my participating in the activity for which I am registering herein, and I hereby release New Hope Lutheran Church and its officers, directors, and pastor, from any and all damages, liabilities, or costs in this regard. PHOTOGRAPHS AND VIDEO: I understand that any pictures or video footage taken of my child by church personnel may be used in future promotion material for the church soccer camp. CANCELLATION POLICY: A fee of $5 applies to all cancellations. If cancellation is received 10 days prior to start of camp, a refund (minus the cancellation fee) will be made. No refunds will be made for cancellations after June 20. No refunds will be given for cancellations due to inclement weather. New Hope is not responsible for lost items belonging to participants. WEATHER POLICY: We generally will play through light rain, and ask participants to bring proper clothing and gear. If weather forecast makes it impossible to even begin camp, we will try to have announcements posted on our web site. If weather becomes severe after we begin a day's session, (thunder, lightning, hail), we will take the kids to the church basement. Camp personnel will wait with children there as long as necessary. Parents can pick their children up during this time if possible. If the severe weather subsides, the remaining participants will go back onto the fields and continue the camp as scheduled. By "checking"¯ the box, I hereby certify that the information I have entered is correct and complete. I acknowledge and agree with the camp's policy as outlined above.*
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