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Spring Break Camp @ Loudoun Sports Training
*March 25-29th
*Boys & Girls 3rd-10th Grade
*9am-12pm or 12:30-3:30pm
Player's Name
*
First
Last
Parent / Guardian Name
*
First
Last
Email
*
Phone
*
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Player's Grade 2023-24 SY
*
Please select
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Gender:
*
Please select
Male
Female
T-Shirt Size:
*
Please select
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Sessions
*
Please select
1 Session ($75)
3 Sessions ($210)
5 Sessions ($325)
Monday, March 25th
Time: 9:00-12:00pm
Time: 12:30-3:30pm
Tuesday, March 26th
Time: 9:00-12:00pm
Time: 12:30-3:30pm
Wednesday, March 27th
Time: 9:00-12:00pm
Time: 12:30-3:30pm
Thursday, March 28th
Time: 9:00-12:00pm
Time: 12:30-3:30pm
Friday, March 29th
Time: 9:00-12:00pm
Time: 12:30-3:30pm
Waiver:
ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT
In consideration of being allowed to participate on behalf of Loudoun Sports Training and related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Loudoun Sports Training their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
*
Clear
Total
$0.00
