2 Day Camp

Player Information

First Name

Last Name

Birthdate

Address

City

Province/Territory

Postal Code

Player Phone Number

Player Email

Grade

Parent/Guardian Information

First Name

Last Name

Relationship to Player

Does Parent/Guardian Live at Same Address as Player?

Address

City

Province/Territory

Postal Code

Home Phone Number

Work Phone Number

AUTHORIZATION AND RELEASE OF LIABILITY:
I, the parent or guardian of the above-named child, authorize the participation of my child in Midget Football, I recognize as with all contact sports there are inherent risks involved. In consideration for my child`s participation in this program, and on behalf of my child and me as a parent or guardian, I hereby release, discharge, hold harmless and indemnify, and covenant not to sue, the Battle River Shock Football Club and all the societies directors, volunteers, coaches and other game day workers. Please check the box for your consent Yes No

CONSENT TO MEDICAL TREATMENT:
In the event my child is injured or needs medical attention, I hereby authorize the Battle River Shock Football Club’s authorized staff to seek medical attention as they see fit for the treatment of my child. I also agree to pay for said medical services if any should arise. Please check the box for your consent Yes No

INTERVIEW / PHOTOGRAPH / AUDIO / VIDEO CONSENT
At any given time Battle River Shock Football Club members or members of the local Media may show up with cameras to record the activity in the Capital District Football Midget Football League and / or Battle River Shock Football Events for promotional purposes. By consenting underneath the parent / guardian of the above named child acknowledges that this activity may take place and the parent / guardian consent to the use of their child’s image and / or name as recorded for these purposes by Battle River Shock Football Club or members of the local Media/Press. I consent to the use of my child’s image and / or name as outlined above Yes No

PARENT CODE OF CONDUCT
A parent’s expectations and attitudes have a significant bearing on a child’s attitude towards other players, officials, managers, coaches and other parents. As a parent, I will:
1. exhibit good sportsmanship at all times, never condone violations of the rules of the game or exhibit behavior contrary to the spirit of the rules of the game.
2. place the well-being and safety of each player above all considerations.
3. not make abusive remarks to any official, player, coaches, volunteer or league administrative personnel.
4. Respect and show appreciation for the trained volunteers, coaches, officials, managers and trainers and remember that children learn best by example; and,
5. be responsible in ensuring attending guests also abide by the Code of Conduct. I agree to abide by the above Parent Code of Conduct Yes No

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REGISTRATION PROCEDURE & CHECK LIST:

Online Registration is completed fully (all field must be filled in)
Medical Form printed and completed fully
- Click HERE to download Medical Form
Copy of Report Card (grades can be blacked out)
Copy of Birth Certificate
Copy of Alberta Health Care
Registration Fee is $50 payable by cash or by e-transfer to admin@camroseminorfootball.com – payable by January 23, 2022. If you are paying by e-transfer please put the players name in the memo line. If you are paying cash we can collect that on the first day of camp.
Equipment Use FEE is $400.00 if Equipment is NOT RETURNED. (This is done on an honor system. If you do not return your equipment, you will be required to pay this)

We must have ALL forms and copies, without them your child is NOT allowed on the field for any practices or games.

Please contact Romonda Kuntz or Callie Pelech if there are any problems or arrangements necessary re: payment of these fees.

** Please note that there will be no refunds after the team has been selected. **