I am the parent or legal guardian of the child named above. In case of a medical emergency or medical necessity, I authorize all medical, surgical, and diagnostic procedures for my child as may be preformed or prescribed by a treating physician, until I can be notified. I accept full responsibility for the costs of all medical treatment my child may receive. Furthermore, I understand the risks and hazards associated with my child’s participation in the Benedictine College Soccer Summer ID Camp for girls. I certify that my child is physically fit to participate in all camp activities and that she is covered by health or accident insurance (required for camp attendance). In consideration of the instruction my child will receive during the camp, I hereby release Benedictine College and its officers, employees, and agents from all liability for any injuries, claims, or damages incurred by me, my child, or on behalf of my child arising from, or in connection with, my child’s attendance at and participation in the Benedictine College Soccer Summer ID Camp for girls. Finally, if Benedictine College photographs or videotapes soccer activities, I hereby grant to Benedictine College the irrevocable, assignable, worldwide right and license to use, alter and publish my child’s image, alone or together with other images and texts, for college publications and for all other purposes reasonably related to promotion of the college in any manner and in any medium now or later developed, without the need for my prior approval. Benedictine College follows all state & federal ADA guidelines and will make accommodations for those players who require it. Individuals needing assistance or special accommodation to fully participate in the program should contact Lincoln Roblee at 913-360-7564 at least 20 days prior to check in.
Signature of parent/legal guardian or player if over the age of 18. Signing below indicates that you have read and accepted the above waiver.