BIG 5 Club
Telephone:
Players win games, teams win championships!
SESSION 1: TBA : BOYS+GIRLS AGES 4-18+ TEAM CAMP
SESSION 2: TBA : BOYS+GIRLS AGES 4-18+ TEAM CAMP
COST: Per session- full day - Mon- Fri/ 09:00am-03:00pm /ages 8-18
$170.00 Non-Members
$150.00 Grandchildren of Members
$120.00 Members
Per session half day Mon- Fri/ 09:00am-03:00pm /ages 8-18
$ 90.00 Non-Members
$ 80.00 Grandchildren of Members
$ 63.00 Members
*Registration must be accompanied by payment
In consideration of the acceptance by sponsors of my entry in the Sunblazer Camp, I, the undersigned, Intending to be legally bound for myself, my heirs, executor, administrators and assignees, do hereby waive, release and forever discharge the sponsors of this event including Danish Dynamic Inc, Sunblazer Camp, Soccer Locker, Adidas and any governing body or political subdivision of Florida, Big 5 Club, and its employees all sponsors and producers of this event, their agents representatives, successors, assignees from all liabilities, actions, claims, demands, costs and expenses, which I may now or in the future have against them or any of them arising put of or in any way connected to my participation in or the operation of any event in route to or from the event included but not limited to any alleged negligence or other action or inaction of the above named parties .
Name_________________________________________________________________
Last first
Address________________________________________________________________
City/State/Zipcode_______________________________________________________
Age___________ Grade (2008-2009)_____________Birthdate____________________
Positions Played_______________________ Circle Sessions Attending: 1 2
Parents Name_____________________________ Big 5 Club Member YES ____ NO _____
Home Phone________________________ Cell Phone____________________________
Emergency Contact _____________________Phone____________________________
E-Mail_________________________________________________________________
I herby give my son/daughter permission to attend Sunblazer Camp and for a qualified, athletic trainer and/or hospital emergency room to administer necessary health care in the case of an accident and/or emergency. In addition I acknowledge that I have read and understand all information in this waiver
______________________________________________________________________________
Parent/Guardian Signature
*Make check payable to Sunblazer Camp
Please send check and registration to
Sunblazer Camps 3532 Thomas Ave., Miami, Fl,33133
600 S.w 92 Ave, Miami FL 33174