Clear Lake Christian School
Sports Camp Player Registration/Waiver Form

All Fields Required!

Camp Choice:  

Child's Last Name

  First Name:

Your Email Address

Parent/Guardian Name  
Home Address  
City, St, Zip  

Home Phone:

  Cell Phone:
Emergency Phone:
Emergency Contact Name:   Relationship:
Student Information:  
Position(s) Played:  
DOB: Age:
Height: Weight:    Grade:
School Attending:  
T-Shirt Size  

The undersigned, ______________________________________, for himself and his family,
hereby forever discharge; and releases Clear lake Christian School, The Camp Directors and all
Instructors who participate in the Camp from any liabilities, claims, demands, cost expenses,
damages, actions, or causes of action that the undersigned may incur or acquire during the course
of his participation in , involvement with, or attendance at the camp/ workout conducted by the:
Camp staff and all authorized personnel for the Designated Camp at CLCS authorized
Facilities.

This “Waiver and Release” is given for and in consideration of the opportunity to
participate in this Camp at CLCS for other goods and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged. The undersigned acknowledges that he is
executing this “Waiver and Release” with the understanding that in no way is the camp meant
for other purpose than for fun and enjoyment.
The undersigned warrants that he suffers from no minor or serious physical injury;
illness or disability that would make him especially susceptible to injury or disability in
performing any activity contemplated by this “Waiver and Release”. The undersigned also
warrants that he is physically able to fully participate in the aforementioned camp and that
he/she is fully comprehends and accept all of the risks associated with such participation.
I authorize Camp personnel permission to obtain emergency medical treatment for my child
in the event he/she needs such treatment and I am unavailable to give immediate consent.
I further agree to have my son/daughter on time (30 minutes prior to start time every day) to
all camp activities.

After submission you will be presented with a form to print, sign
and return with payment. Your child will not be enrolled until
payment is received.