MIDDLE SCHOOL SOCCER SIGN-UP



WILLOW HILL SCHOOL SOCCER SIGN-UP

We would like to enroll our son/daughter _______________________________ in the Willow Hill School after-school Soccer program. We understand that the fee for Soccer is $60 for this seasonal program, and must be paid before Tuesday, September 12. We fully understand that arranging transportation from the sessions is our responsibility and that we must give written notice at least 24 hours in advance if our child must miss a scheduled practice or game. We understand that we must submit written notification describing the arranged transportation, prior to the beginning of practices. We further understand that absence(s) from the program session do not merit a refund of the program fee in whole or part. Soccer begins Tuesday, September 12 and continues every Monday, Tuesday, Wednesday and Thursday until October 26, 2017. If the school has not received this signed form and the fee by September 12, then your child will not be able to play or practice until this has been completed. If you have any questions about this program, please contact Jay Phillips at (978) 443-2581 X 254.

Signature of Parent ______________________________________________________ Date: _______________

Signature of Parent ______________________________________________________ Date: _______________

Please return this form to Willow Hill School with your check made payable to “Willow Hill School” for the full amount of the program

Student’s Name: ____________________________________________________

The undersigned acknowledge that, as a Student attending Willow Hill School, the Student will participate in various required and voluntary school activities, including, but not limited to, participation in sports programs (including the use of equipment furnished by Willow Hill School) and off-campus trips (which may include one or more overnights in facilities provided as part of the activity), and that sports programs and certain other activities may be inherently hazardous and involve unavoidable risk of injury to participants. In consideration of the Student’s being allowed to participate in such school activities for which the undersigned give permission, the undersigned agree on behalf of themselves and the Student, that the Student may participate in the Activity and that they and the Student will hold Willow Hill School, its trustees, officers, administrators, teachers, and other employees and agents, any volunteers assisting in any such school activities with the consent of Willow Hill School, harmless from any and all claims, demands and liabilities whatsoever, which may directly or indirectly result from or be related to any loss, damage, or injury, including accidental death, that may be sustained by the student, or to any property of the student or the undersigned, as a result of the Student’s participation in such school activities or trips, and further agrees to release and forever discharge all of the foregoing and all of their estates, successors, and assigns, from all such claims, demands, actions, damages, or liabilities whatsoever, of every nature, both in law and in equity, which the undersigned and/or the Student now have or may in the future have on account of the Student’s participation in such school activities or trips. This release shall be binding upon the heirs, executors, administrators, and assigns of the undersigned.

The undersigned authorize and give permission for Volunteers to seek and obtain any and all necessary medical treatment (including, if needed, anesthesia) for the student arising out of the Activity and for medical personnel to furnish such treatment.

On behalf of themselves and the Students, the undersigned acknowledge that they have read and understand this Agreement and Release and that they have signed it voluntarily.

Signature of Parent or Guardian:______________________________________________ Date: _______________

Signature of Parent or Guardian:______________________________________________ Date: _______________

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