The Soccer camp will be two days: August 19th and 20th
at The Hun School of Princeton.

Drop off at 8:45 a.m

Pick up at 12:15 p.m

Athlete Information

Athlete's Name *

First Name Last Name

Birth Date *

Month Day Year

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Player's Cell Phone Number:

- Area Code Phone Number

Parent/Guardian Information

Name *

First Name Last Name

Home Number

- Area Code Phone Number

Cell Number *

- Area Code Phone Number

E-mail *

Emergency Information

Emergency Contact's Name *

First Name Last Name

Relationship *

Phone Number *

- Area Code Phone Number

Alt. Phone Number

- Area Code Phone Number

Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.

Is the athlete prescribed an inhaler? If yes, please explain any instructions.

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Joga Bonito Soccer Training, The Hun School of Princeton, or any of their related entities during the selected camp. In exchange for the acceptance of said child’s candidacy by Joga Bonito Soccer Training, The Hun School of Princeton or any of their related entities, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Joga Bonito Soccer Training, The Hun School of Princeton or any of their related entities, as well as the facility/property owners, and all their respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against Joga Bonito Soccer Training, The Hun School of Princeton or any of their related entities, and the facility/property owners, including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including soccer. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

I further understand that all dues and/or fees payments, including any initial deposit, are non-refundable.

Medical Release and Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to Joga Bonito Soccer Training, The Hun School of Princeton or any of their related entities, and their affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

JOGA BONITO 2017 Hun Boys Soccer Team Camp Registration

Drop off at 8:45 a.m

Pick up at 12:15 p.m