Online Registration – Mail Payment

I/We certify that my child is in good health and can participate in all activities of Wolverine Soccer Academy Camps/Clinics. I/We understand that camp participation may involve significant physical activity which could result in injury. I/We the undersigned, hereby grant permission to the above-named to attend and participate in the Wolverine Soccer Academy Camps/Clinics. Futhermore, I/We hereby give permission to the camp staff to render preventitive first aid and or emergency treatment that they deem necessary to my child’s health and well being. In the event of serious illness, the need for major surgery or significant accidental injury, I understand that an attempt will be made by the camp staff to notify the emergency contacts (parent/guardian to be first contacted). If unable to contact above emergency contacts, the treatment deemed necessary for my child’s best interest and well being may be given. I/We understand that this authorization is given in advance of any specific diagnosis, treatment or hospital care and that is given to provide the camp staff authority to seek medical treatment and to provide a licensed health care provider the authority to administer this treatment they judge necessary (hospitalization, if necessary) to the above named camper. I/We understand that responsibility for payment for such medical care will be mine and certify that the child is covered by adequate medical insurance. Lastly, I/We assume all risk incident to the child’s participation and release Wesley College, Wolverine Soccer Academy and staff, its employees, agents, officers, trustees and volunteers from all rights and claims for damages, injury or property that may occur during the participation in or during camp activities. I/We have read all the of the above and both the camper and I/Us agree to abide them.

Section II.

I/We give the camp permission to use camp-related photos and video of my child for camp publicity.