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REGISTRATION FOR CAMP
PARENT INFO
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PARENT Name
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PARENT Email
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PARENT CELL FOR EMERGENCY
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STUDENT INFO
STUDENT-ATHLETE Name
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PLEASE CHOOSE APPROPRIATE GROUP
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7:45am Tecumseh Arena U19 GIRLS
7:45am Tecumseh Arena U16 BOYS 2006-07-08
10am Forest Glade Arena U18 BOYS 2003-04-05
ANY MEDICAL NOTES
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HEALTH CARD PICTURE UPLOAD
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AGREEMENT
I/we understand and acknowledge that the billets, staff, officers, employees and agents of A21 Academy act in the place and position of guardian of my child(ren) while in attendance at A21 Academy. Recognizing this, I/we authorize each or any of them to provide to my child(ren) any medical treatment and support that they consider to be reasonable or necessary.
In consideration of their willingness to care for my child(ren), I/we release, remise and discharge, indemnify and save harmless, the Billets, the A21 Academy Ltd, its Board of Directors, officers, employees and agents from any and all liability, claims or causes of action by virtue of application, or non-application of medical treatment and not liable for any accident or loss however caused. I/we agree to release A21 Academy from all claims and damages.
RELEASE AND INDEMNITY
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READ ABOVE, UNDERSTAND AND AGREE WITH AUTHORIZATION, RELEASE AND INDEMNITY
COVID POLICIES
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UNDERSTAND AND AGREE TO FOLLOW ALL COIVID POLICIES
FEE OF $21/HR X 21 HRS = $441 PER PLAYER
TO SECURE YOUR SPOT - PAYMENT DUE BY JULY 30TH BY E-TRANSFER TO info@a21academy.com
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AGREE
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