Mountain Hoops Player Registration 2019

Registrant

50.00% Complete
Child
Child

Liability, Medical, & Photo Release



I declare that I am the legal guardian of the child(ren) registering for this camp and give permission for such child(ren) to attend the Mountain Sports Camp.

I hereby authorize representatives for Mountain Christian Church, when I am not present with my child(ren) to consent for all reasonable and necessary medical and/or surgical treatment and procedures which are required for child(ren) named on the other side of this form.

I understand that in such an emergency, reasonable attempts would first be made to contact me, time and conditions permitting, and that in any event, I will be notified of any action taken as soon as reasonably possible.

I release Mountain Christian Church any other parties acting on their behalf from liability in case of an accident.

I further agree and understand that:

The rules/directives for the Mountain Sports Camps are designed and put into practice for my safety and well-being. My child(ren) is to follow all rules and directives that are conveyed to me verbally or in written form related to the Camp. Failing to comply with these rules and directives can result in injury to my child(ren) or others and is also grounds for the Mountain Sports Camp staff to restrict my participation in the Camp.

My child(ren) is voluntarily participating in this event, and I am aware that due to the nature of the activity there is a certain amount of risk involved in this activity and my child(ren) could become injured or ill.

I understand that I/my child will not be covered by any program insurance, and I agree that I will not hold the team, program, coach, in­structor, or any organization associate with the camp responsible for injuries received while participating in the above noted program.

I understand that there may be occasions when Mountain Christian Church (MCC) will want to use photographs or audio or video recordings from Church activities or events in which I or my minor child participates. I grant to MCC the right to include photographic, video, audio and other visual or audio portrayals of me or my minor child taken during or in connection with this Sports Camp in any medium of any nature whatsoever (including the right to edit, combine with other materials or create any type of derivative thereof) for the purpose of advertising, publicity, promotions, or otherwise, without compensation to me or my child. Such grant shall include the unrestricted right to copy, revise, distribute, and display photographs, images, films, tapes, drawings or recordings in any type of media (including, but not limited to, the Internet). I consent to the use by MCC of my or my minor child’s testimonial, comments and/or narrative writing in any manner, free of charge, in any form or media. I understand the wording of any testimonial, comments and/or narrative writing may be edited or altered, provided that the sense and meaning are not materially changed. I agree that all rights, title and interest therein shall be MCC’s sole property, free from any claims by me or my child or any person deriving any rights or interest from me or my child. I release MCC and its agents and assigns from any and all claims which may arise out of or are in any way connected with such use.


If you are registering another player, a link will be available on your confirmation email to register additional children.