Supporting young athletes and underprivileged youth in underserved communities



ERIC THOMAS ALL SPORTS SKILLS CAMP

REGISTRATION FORM & WAIVER

 Parents must complete one form for each child -

Where

NACOGDOCHES HIGH SCHOOL SOCCER PRACTICE FIELD

Registration Information

Child's Full Name*:   Child's Age*:
        T-Shirt Size*:        

 

Child's Athletic Interests (Sports they participate in)

Track & Field
Football
  Baseball
Basketball
  Hockey
Swimming
  Soccer
LaCrosse
Other Interests & Goals? Please describe them below:

 

Leagues they participate in & school they attend

Leagues and
Organizations
they participate in
Include coaches name
if available:

 

School they attend:

 

Parent / Guardian's Contact Information

Parent/Guardian's Name*:

 

Mailing Address:

 

City*:

 
  Zip:

Phone (include area code)*:

 

Emergency Contact Phone*:

 

Attendance*:

  I will attend the event I cannot attend

Email Address:

 

I would like to receive e-mails about upcoming events

 

I am the Parent / Guardian of this child and agree to the follow terms & conditions.

As parent/guardian of the above child, I hereby authorize his/her participation in the Eric Thomas All Sports Skills Camp. I agree to release Eric Thomas, Champion Trainers, the Eric Thomas Foundation and all employees from responsibility for injuries incurred during the camp and/or any travel to or from camp. Should injury occur, I authorize employees of Champion Trainers to arrange for any medical attention which they deem necessary. Specific risks vary from one exercise to another and risks range from minor injuries to major injuries. In consideration of your participation in the activities offered by Champion Trainers, you understand and voluntarily accept this risk and agree that Champion Trainers will not be liable for any injury, including, without limitation, personal, bodily, or mental injury, guests, unborn child, or relatives resulting in negligence of Champion Trainers or anyone on Champion Trainers' behalf using the facilities, whether related or not. You acknowledge and agree that you have read the foregoing and know of the nature of the activities with Champion Trainers and you agree to all terms of this agreement.