Parental/Emergency Contact Information
Elite Football Academy Camp Waiver
I have read, understand, and abide by the following information. My child has my permission to participate in Elite Football Academy Activities. I certify that my child has been examined by a licensed physician within the last 12 months, and is able to participate in all football related physical activities. I understand that my child may come in contact with other people and objects, and I hereby waive all rights to future claims related to such contact or injuries sustained as a result of such contact. I agree to assume any and all risks associated with my son’s participation in Training Sessions and release Elite Football Academy, its Owner, Staff, Participating Facilities, Host Schools and their respective School Districts from any and all liability related to injury or illness my son may sustain during training. I authorize Elite Football Academy, in the event of a medical emergency to transport and/or seek the necessary medical treatment for my child.
Father/Guardian Phone Number:
Mother/Guardian Phone Number:
Emergency Contact Phone Number:
Online Payment Instructions
Once you click the Proceed button, you will be taken to the Camp Payment Page. Simply click "Add to Shopping Cart" and enter your payment information. You have the choice to pay with a Paypal account or to use a major credit card. Thank you and we look forward to working with you soon!
St. Louis Sports Center Camp Waiver
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT
(“AGREEMENT”)
IN CONSIDERATION of being permitted to participate in any way in ST LOUIS SPORTS PARTNERSHIP LLC activity (“Activity”) I, for myself, for personal representatives, assigned heirs, and next of kin:
1.
ACKNOWLEDGE, agree, and represent that I understand the nature of St Louis Sports Partnership LLC Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity.
2.
FULLY UNDERSTAND THAT: (a) ST LOUIS SPORTS PARTNERSHIP LLC ACTIVITIES INVOLVE RISK AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“Risks”); (b) these Risks and dangers may be caused by my own action or inaction, the action or inaction of others participating in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE “RELEASEES” NAMED BELOW; (c) there may be OTHER RISK AND SOCIAL AND ECONOMIC LOSSES either not known to me nor readily foreseeable at this time, and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I Incur as a result of my participation or that of the minor in the Activity.
3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE St. Louis Sports Partnership LLC, their respective administrators, directors, agents, officers, members, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owner and lessors of premises on which the Activity takes place, (each considered one of the “Releasees” herein) FROM ALL LIABILTY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES”OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such a claim.
I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILTY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.