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As a parent of a minor child participating in activities sponsored by Vineyard Summer Soccer, LLC, I recognize that some activities may be challenging. Therefore, I waive any claim that I, my child, or any other person may make against Vineyard Summer Soccer, its staff, or the West Tisbury School for any injuries sustained while participating in or traveling to or from any of the activities. I also grant permission, in the event of an injury, for the supervisor of the activity to obtain and administer such first aid emergency medical treatment as required.
Signed:________________________________
Name: ________________________________
Date:_______________
Please print out this completed application, sign and
bring with payment in full on the first day of camp. Please make check payable to:
Vineyard Summer Soccer Camp
Registration is not complete until full payment, medical forms and signed application are received.
2009-2010. Vineyard Summer Soccer, LLC.
