MKE Winter XR Soccer Training Registration Form

MKE Winter XR Soccer Training Registration Form

Xr training form Form Preview
MKE XR Soccer Training Detailed Registration Form
  • XR Soccer Training Registration

    Milwaukee (Dec 26th - 29th)
  • Athlete Information

  • Parent/Guardian Information

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  • Emergency Information

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  • Informed Consent and Acknowledgement

    I hereby give my approval for my child’s participation in any and all activities prepared by XR Training LLC during the selected camp. In exchange for the acceptance of said child’s candidacy by XR Training LLC ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless XR Training LLC, Brookfield Indoor Sports Complex. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected training sessions.

    In case of injury to said child, I hereby waive all claims against XR Training LLC, Brookfield Indoor Sports Complex. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

    We sometimes take photographs or video footage for publicity purposes. These images may appear in our printed publications and publicity materials, on our website, or both.

    We may also send the images to the news media, who may use them in printed publications and on their website, and store them in their archive. They may also syndicate the photos to other media for possible use, either in printed publications, or on websites, or both. When we submit photographs and information to the media, we have no control on when, where, if or how they will be used.

  • Medical Release and Authorization

    As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

    Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

    Permission is also granted to the XR Training LLC. and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

    Release authorized on the dates and/or duration of the registered season.

    This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

  • XR Training Payment

  • Total:   $ 0.00
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