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Summer Camp Registration Form

Birthday
Month
Day
Year

 All children need to adhere to the rules and regulations of the camp. King's Sports Centre reserves the right to terminate the registration of any child who fails to do so. NO REFUNDS will be given at this event.

Camper may be released to:

If we are unable to contact parents or legal guardian, it is important that we have another reference (local relatives, friends). Please list a second person to call in case of an emergency.

In case of emergency, if parents cannot be reached, I give permission for my child to be treated at the hospital emergency room at George Town.
Yes
No
Should medication be administered at Camp?
Yes
No
Time to Administer
Time
HoursMinutes

(Medication to be sent in daily, and labelled accordingly)

King's Sports Centre will not be held responsible for lost or damaged articles or injuries incurred during camp activities. If child is not picked up at scheduled time, there will be an additional fee.

Waiver Release

I hereby acknowledge my awareness that my child’s participation in the Kings Sports Centre Summer Camp may involve activities which include, but are not limited to, the following: stretching, running, jumping, kicking, throwing, swinging, catching, swimming, sliding and bodily contact with other campers and with athletic equipment. It may also involve competitive sports which use various types of athletic equipment which include, but are not limited to, the following: balls, bats, rackets, helmets, cleats, pads, nets, frisbees, goal posts, sticks, pucks and/or other athletic equipment.


I also understand that my child’s participation in the aforementioned activities may expose my child to risks of property damage and bodily or personal injury, including injury that may be fatal, and any one or more of the following: injury from slipping, tripping and falls; sickness; foreseen and unforeseen inclement weather; cuts; abrasions and puncture wounds, broken bones; injury from contact with other campers and from contact with athletic equipment; muscle strains and sprains; concussions; drowning; and heart attack. In addition, I understand that my child may be exposed to other risks which may not be foreseeable. I have been informed by reading the camp description online and understand that there are inherent risks and dangers involved in this activity. I knowingly and freely assume, on behalf of my child, any and all such risks and voluntarily participate in this activity. I understand that it is my responsibility, as the participant’s parent, to allow my child to engage only in those activities which are appropriate.


I acknowledge that my child must follow the instructions of the activity leader at all times. In addition, I understand that none of the following entities provides insurance coverage for my child’s participation in the Kings Sports Centre Summer Camp and that it is strong ly recommended that I obtain my own accident and health insurance to cover my child prior to participating: Kings Sports Centre Summer Camp.


In exchange for the use of equipment, materials, supplies and for being allowed to participate in this Program, I hereby release and forever discharge the Kings Sports Centre, and all sponsoring agencies and their members individually and their officers, agents and employees from any and all claims, demands, rights, expenses, actions, and causes of action, of whatever kind, arising from or by reason of any personal injury, bodily injury, property damage, or the consequences thereof, whether foreseeable or not, resulting from or in any way connected with my child’s participation in this activity.


I hereby irrevocably consent to and authorize the use by Kings Sports Centre by and on behalf of the its officers and employees of the undersigned’s image and/ or likeness as follows: Kings Sports Centre shall have the right to photograph, publish, re-publish, adapt, exhibit, reproduce, edit, distribute, display or otherwise use or reuse the undersigned’s image and/or likeness in connection with any product or service in all markets, media or technology now known or hereafter developed in King’s Sports Centre products or services. The undersigned acknowledges receipt of good and valuable consideration in exchange for this Release, which may be the opportunity to represent Kings Sports Centre in its promotional and advertising materials.


I hereby waive the right to inspect or approve my image or any finished materials that incorporate my image. I understand and agree that my image will become part of Kings Sports Centre photograph file and that it may be distributed to other organizations or individuals for use in publication. I also understand that I will receive no compensation in connection with the use of my image.


I further covenant and agree that for the consideration stated above, I will hold forever harmless and will not take legal action against Kings Sports Centre, the Board of its members individually, and their officers, agents, and employees for any claim for damages arising or growing out of my child’s participation in this activity whether caused by negligence or otherwise.


I certify that I am the parent/legal guardian for this child. This consent is given freely and voluntarily by the undersigned without coercion, duress, threat or promise of any kind. I certify that I understand and have read the information above carefully before signing. I understand that my child will not be allowed to participate in any summer camp activities if I do not sign.

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CONTACT

Tel: 345-946-5464  

Email: kings@candw.ky

 

861 Crewe Road, George Town

Grand Cayman, CAYMAN ISLANDS

PO Box 10137

Grand Cayman KY1- 1002

CAYMAN ISLANDS

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