Soccer Camps

Athlete's Name *

First Name

Last Name

Parent/Guardian Name *

First Name

Last Name

Phone *

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Emergency Contact (if different than Parent/Guardian) *

First Name

Last Name

Emergency Contact Phone #

(###)

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Soccer Camp Waiver and Release of Liability

By registering my child for this camp, I (the parent or legal guardian of the participant) agree to the following: 1. Assumption of Risk I understand that participation in soccer activities, including but not limited to drills, games, conditioning, and related exercises, involves inherent risks of injury, including but not limited to sprains, fractures, concussions, heat-related illness, or other serious injury. I voluntarily assume all risks associated with my child’s participation in this camp. 2. Waiver and Release In consideration for my child’s participation, I release and hold harmless Chris Wehan, CoCreate SC, its staff, contractors, volunteers, and affiliates from any and all claims, liabilities, demands, causes of action, or expenses, including legal fees, arising out of or in connection with any injury, loss, or damage that may occur as a result of my child’s participation in this camp, whether caused by negligence or otherwise, to the fullest extent permitted by law. 3. Medical Authorization In the event of injury or medical emergency, I authorize camp staff or emergency personnel to provide medical care as deemed necessary for my child’s well-being. I understand that I am responsible for any medical expenses incurred as a result of my child’s participation. 4. Acknowledgment of Rules I agree that my child will comply with all camp rules and instructions provided by coaches and staff. I understand that failure to follow these rules may result in removal from the camp without refund. 5. Photo/Video Release I grant permission for CoCreate SC to use photos or video of my child participating in camp activities for promotional purposes, including social media, website, and print materials. I understand that no names or personal information will be shared without additional consent. (Optional: If you do not agree, please notify the camp staff in writing.) 6. Confirmation By submitting this form, I confirm that I have read, understood, and agree to the terms of this waiver and release of liability.

I have read and agree to the Waiver and Release of Liability.

I consent to the medical authorization described above.

I grant permission for photo/video use as described above.

No, I do not grant permission for photo/video use as described above.