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SUMMER CAMPS
2021
Registration form
Player Information
Name
First
Last
Gender
*
Male
Female
Date of birth
*
DD
MM
YYYY
Does the player have allergies?
Yes
No
If player has allergies, list them here. If you indicated “Yes” above, please include a list of allergies here. If you indicated "No" above, please type "N/A" or "No" as verification that the player does not have any allergies.
Allergy verification
T-Shirt Size
Small
Medium
Large
X-Large
XX-Large
Parent information
Main contact information
*
First
Last
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Email
*
Enter Email
Confirm Email
Phone
*
Emergency contact information (different then main parent)
*
First
Last
Relation with the player
Phone
*
Week selection
*
Week 1 - June 28
Week 2 - July 5
Week 3 - July 12
Week 4 - July 19
Week 5 - July 26
Week 6 - August 2
Taxes included
Camp location
*
Laval Region
Montreal Region
Product Name
*
Price:
$ 0.00 CAD
Registration Agreement
Refund Policy
– If you unregister 30 days or more prior to the first session, you will get a 50% refund, less a $50.00 administrative fee. – After that timeframe, there will be no refund. – We acknowledge that there can be medical exceptions. Any medical exceptions must be documented by our medical staff and require a written assessment from your family physician.
Refund Policy
I agree to the stated refund policy
Agreed
Electronic Communication
Montreal Manic FA may be required to contact you via email or other electronic means to provide updated information regarding both the event you have registered for and for upcoming events.
Electronic communication
I consent to receiving electronic communications.
Agreed
COVID-19 CLAUSE
IN CONSIDERATION OF my child/ward being allowed to participate in any way in the related events and activities, the undersigned acknowledges, appreciates, and agrees that: The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) to my child from the activities involved in these programs are significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and, 1. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my child’s participation; and, 2. I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child’s readiness for participation and/or in the program itself, I will remove my child from the participation and bring such attention of the nearest official immediately; and, 3.. I HEREBY RELEASE AND HOLD HARMLESS the Montreal Manic FA; its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property incident to my child’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 4. I HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. I, the parent/guardian, assert that I have explained to my child/ward: the risks of the activity, his/her responsibilities for adhering to the rules and regulations, and that my child/ward understands this agreement.
COVID-19 CLAUSE
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Agreed
How did you find out about us?
Partned Club Communication
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Montreal Impact Event