PanoramaHillsSoccer.com & CalgarySoccerStars.com
indoor/outdoor soccer program/camps for kids

I / We (your name name) parents/guardians of:

Your Child's Name (required)

registered in following soccer program: —Please choose an option—TINY STARS for year 2016MINI STARS for year 2016RISING STARS for year 2016

we give permission for our child to participate in the Indoor/Outdoor Soccer Program and/or camp organized by CalgarySoccerStars/PanoramaHillsSoccer.

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It is my understanding that participation in these programs may involve, but is not limited to supervised games and activities inside the Centre. We are aware and acknowledge that certain risks of injury are inherent to participation in play based, recreational activities and sports. Injuries may be minor or serious and may result from one’s actions, or the actions or inaction’s of others, or a combination of both.

As the parent/guardian it is agreed that the PanoramaHillsSoccer.com/CalgarySoccerStars.com, its employees, servants and/or agents, managers and owners shall not be liable for any injury to our child participating in the Soccer Program or responsible for the loss or damage to their personal property arising from or in any way resulting from the participation in these activities.

As the parent/guardian it is agreed that the PanoramaHillsSoccer.com/CalgarySoccerStars.com may, in the event of an accident/injury secure medical advice and services as it, in its sole discretion, may deem necessary for our child’s health and safety and we shall be financially responsible for such advice and services.

"I/we hereby consent to the use of and grant to the PanoramaHillsSoccer.com/CalgarySoccerStars.com the right to use, for the purposes of promoting the Soccer program thru official websites and other social media sites, any photographs taken of the following minor while they attend the indoor soccer program and/or summer day camp program.

I grant such consent as parent and/or guardian to the following minor pursuant to Section 17(2)(a) of the Freedom of Information and Protection of Privacy Act. I understand no other personal information about the minor will be released by PanoramaHillsSoccer.com/CalgarySoccerStars.com without my permission."

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Completed consent forms must be returned to the PanoramaHillsSoccer.com prior to or at the first day of program. Failure to comply could result in a child being excluded from participation in indoor soccer program and/or day camps organized by PanoramaHillsSoccer.com and CalgarySoccerStars.com

The Freedom of Information and Protection of Privacy Act (FOIP) governs information collected for this program. The information collected will be used only in the event of an emergency. This form will be destroyed at the end of the 2016 PanoramaHIllsSoccer.com 2016 programs and/or camps.

By putting check mark at the end, I/We (your name) parent's guardians of

Your Child's Name (required)

declare that we have read understood and agree to the contents of the Consent /Waiver Form in its entirety. and accept to submit in this electronic form

Your Email (required)

date of acceptance: