Groupon - UKSA Soccer

Groupon Code*

Child's Information

Name*

First Last

Age*

Any medical conditions?

Parent's Information

Name*

First Last

Email*

Mobile Phone*

Alternate Phone

Address

Street Address Address Line 2 City State ZIP Code

Camp Information

GROUPON MUST BE PURCHASED 2 WEEKS (TWO) PRIOR THE CAMP DATE

CAMP YOUR INTERESTED IN?*

UKSA Camps
SSE Camps

UKSA Camp Options

UKSA Camp Dates*

JUNE 10 - 14, 2024
JUNE 24 - 28, 2024
JULY 15 - 19, 2024
AUGUST 5 - 9, 2024

UKSA Camp Times & Prices*

Half Day, 9am - 12pm
Full Day, 9am - 2pm

SSE Camp Options

SSE Camp Dates*

APRIL 1 - 5, 2024

SSE Camp Times & Prices*

Half Day, 9am - 12pm
Full Day, 9am - 2 pm

NFFC/SSE - SUMMER CAMPS

Camp Dates*

NFFC/SSE Camp Dates

Camp Times

Terms

I hereby authorize the staff of UKSA Soccer camp to act on my behalf and to the best of their ability in any emergency requiring medical attention. I also hereby waive and release the staff of UKSA Soccer camp from liability for injuries that occur at the camp. I also understand that UKSA retains the right to use for public and/or advertising purposes, photos taken during the soccer camp. REFUND POLICY - No refunds - ONLY Credits are offered for future Camps.

I agree to the terms described above

COVID-19 - READ CAREFULLY & AGREE*

In consideration of being allowed to participate on behalf of United Kingdom Soccer Academy Camps (UKSA) and related events and activities, the undersigned acknowledges, appreciates, and agrees that: 1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and, 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation; and, 3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS UKSA their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.