2016 Cavalier Soccer Camp Monday, June 13

2016 Cavalier Soccer Camp Monday, June 13- Wednesday, June 15, 2016 9:00 am - 12:00 pm RNE Athletic Fields Child’s Name: _______________________________________________________ Child’s Age and Grade just completed: __________/_________ Parent/Guardian’s Name: _____________________________________________ Home Address: _____________________________________________________ Home Phone: _____________________ Cell Phone: _______________________ Email Address:_______________________________________________________ Registration Fee: $60 Date Paid: _________ Cash: ______ Check #: _______ You can mail your registration and payment to: Richland Northeast High School, Attention “Soccer Camp” 7500 Brookfield Rd. Columbia, SC 29223. Please make all checks out to Richland Northeast High School, and include your home phone number. If you have two or more children in the same family attending the camp, $10 per student will be deducted. CAMP TUITION IS NON-REFUNDABLE! MINOR RELEASE: AND I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF THE ACTIVITY AND THE MINOR’S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’S ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR’S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSSLIABILITY, DAMAGE, OR ANY COST THAT MAY OCCUR AS A RESULT OF ANY SUCH CLAIM.

PRINTED NAME OF PARENT/GUARDIAN ___________________________________________ PARENT/GUARDIAN SIGNATURE _________________________________________________