Camp Registration

Child Information

Name *

First

Last

Date of Birth *

Experience Level *

New Player
Recreational Level
Select or Higher Level

Gender *

Male
Female
Other

Allergies? *

Parent/Guardian Information

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Additional Information

Referred By

I agree to receive emails and updates on this camp *

Payment Information

Summer Camps (9 AM – 12 PM)

July 6 – 10 (Sports Medicine Learning Curriculum) – $180.00
July 27 -31 (Nutrition Learning Curriculum) – $180.00
August 10 – 14 (Anatomy Learning Curriculum) – $180.00
All 3 Camps (Save $100) – $440.00
Single Day (Specify Below) – $40.00
Three Days (Specify Below – $120.00

Introduction to our new curriculum, teaching injury prevention through soccer camps. Camps come with a T-shirt and Learning Guide.

If you chose single day, which day are you going to come?

Total *

$0.00

Coupon

Note: If our payment system does not work, (not common, but can happen), please zelle tigeryouthsoccerbellevue@gmail.com to make the payment, and email us to finish the registration information.

Stripe Credit Card *

Annual Liability Waiver *

Yes, I have filled out the liability waivers in the past year
No, I have not filled out the liability waivers in the past year

If you have already completed a Tiger Youth Soccer liability waiver within the past 12 months, you may skip completing it again. By continuing, you confirm that a current waiver is on file and that all participant information remains accurate. If any information has changed, a new waiver must be completed.

Emergency Contact

Parent/Guardian #1 Name *

First

Last

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

receive Phone

Parent/Guardian #2 Name *

First

Last

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact *

First

Last

Phone *

Medical Information *

List any and all medications (if medications need to be taken during the camp/program please state below.

Allergies Or Exceptional Medical Conditions (Write None If Not Applicable) *

Please send us an email or action plans if necessary particularly if camper has Asthma, Diabetes or Epilepsy

Medical Providers Name and Medical Insurance Coverage Information (Group/plan number): *

CONSENT: I have provided Tiger Youth Soccer with all information regarding any medical conditions and/or allergies, and any regular medications taken by my child. I authorize and give permission for any Tiger Youth Soccer representative to administer first aid, and/or to take or accompany my child to a physician or hospital for emergency treatment if it appears necessary in the judgment of Tiger Youth Soccer. I understand that Tiger Youth Soccer will utilize Emergency Medical Services (EMS) as it deems necessary and appropriate, and that EMS may transport my child to the most appropriate hospital in the area, at their discretion. I give consent for a licensed physician and/or the hospital and its medical staff to provide my child with emergency medical treatment which a physician deems necessary (including anesthesia). I agree to accept responsibility for all medical expenses incurred in the treatment of my child that are not covered by Tiger Youth Soccer.

Photo Release

I, ______________hereby authorize Tiger Youth Soccer LLC to publish the videos and/or photographs taken of me and/or the minor children listed below for use on the Tiger Youth Soccer LLC website and/or Tiger Youth Soccer LLC instagram. I release Tiger Youth Soccer LLC and the recreation program from any expectation of privacy for the minor children and myself and attest that I am the parent or legal guardian of the child or children listed below and I have the authority to authorize the Tiger Youth Soccer LLC and the recreation program to use their photographs, image, likenesses, and names. I acknowledge that since participation in publications and websites produced by the Tiger Youth Soccer LLC is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by Tiger Youth Soccer LLC confers no rights of ownership whatsoever. I release the Tiger Youth Soccer volunteers and employees from liability for any claims by me or any third party in connection with my participation or the participation of the minor child or children listed below.

Photo Release Consent *

Yes, I consent to the photo release described above
No, I do not consent to the photo release described above

Photo Release Consent Confirmation *

My child may be photographed during the camp. These photos may only be shared in a private, current camp family only and will not be used for marketing, social media, or any public purposes.
My child may not be photographed (excluded from group photo)

Liability Release

1. Terms

Tiger Youth Soccer, LLC. Tiger Youth Soccer, LLC (Tiger Youth Soccer) is a Washington State Limited Liability Company that’s runs and operates soccer programs for children 18 years of age and under. Tiger Youth Soccer refers to the company that oversees putting on the program(s) for the Participant.

Participant. The Participant refers to the child/children that are enrolled and/or participate in programs/events held by Tiger Youth Soccer.

Parent and/or Legal Guardian. This is the natural biological mother or father of the child, the legally adopted parent(s) and/or a person recognized by the law as the child’s mother or father, even if not biological.

The Parent and/or Legal Guardian has authority to make decisions on behalf of the child.

2. Liability Release and Parental Consent Form

In consideration of, and as a precondition for Participant being allowed to participate with Tiger Youth Soccer, the Participant and Parent and/or Guardian understand, acknowledge and agree as follows:

Except with respect to an injury or loss that occurs on public lands whose rules and regulations may prohibit our doing so, we release and discharge Tiger Youth Soccer from any and all responsibility, claims, liability, actions and causes of action for, on account of, or in any way directly or indirectly arising out of any and all known or unknown loss or damage arising from or in any way connected with the Participant’s enrollment or participation. This release includes but is not limited to loss or damage caused by the negligence of Tiger Youth Soccer but does not include loss or damage caused by gross negligence, or by reckless, willful or wanton misconduct on the part of Tiger Youth Soccer. We understand that in signing this document we surrender our right to make a claim or file a lawsuit against Tiger Youth Soccer for personal injury or property damage, wrongful death or otherwise, except in cases of gross negligence, or reckless, willful or wanton misconduct.

Parent(s)/Legal Guardian agrees to indemnify (that is, protect by payment or reimbursement) Tiger Youth Soccer (i) from any claim which may be brought by or on behalf of the Participant, or by any member of the Participant’s family, for injury or loss arising from or in any way connected with Participant’s enrollment or participation in the Program except injury or loss caused by gross negligence, or by reckless, willful or wanton misconduct on the part of Tiger Youth Soccer and (ii) from any claim which may be brought by any third party for injury or loss resulting from our (as defined above) acts or omissions.

This release is intended to discharge in advance, Tiger Youth Soccer’s employees, independent contractors, volunteers and/or agents from liability, even though liability may arise out of perceived negligence on the part of persons mentioned above.

We agree that this document, and every other aspect of our relationship with Tiger Youth Soccer, contractual or otherwise, is governed by the laws of the State of Washington. Further, any suit, mediation or arbitration arising out of or relating to Tiger Youth Soccer, or any other dispute with Tiger Youth Soccer, must be filed or entered only in the Superior Court of King County, Washington.

If any portion of this agreement or the application thereof to any circumstances is found by a court or other appropriate authority to be unenforceable or invalid, the remainder or other application of this agreement nevertheless will remain in full force and effect.

3. Arbitration

In lieu of any lawsuit regarding a legal dispute, any controversy or claim arising out of or relating to this contract, or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association or a similar organization agreed upon by the parties, and judgment on the award rendered by the arbitrator may be entered in any court having jurisdiction thereof.

The jurisdiction is Washington state and venue in King County, Washington.

4. Consent for Treatment

In the event of a physical injury, Participant’s Parent and/or Legal Guardian give Tiger Youth Soccer consent to medical treatment which may include emergency medical personnel, staff members, a physician or surgeon. Participant’s Parent and/or Guardian acknowledges and agrees that any medical treatment rendered by medical personnel may be subject to monetary expense for which Parent or Guardian may be responsible.

WE HAVE READ, UNDERSTAND AND ACCEPT THE TERMS AND CONDITIONS stated herein and acknowledge that this agreement shall be effective and binding upon us, our heirs, assigns, personal representative and estate and all members of our family, both before and after the minor Participant reaches majority.

I have hereby read and agree to the terms of the documents above

Signature *

Clear Signature

Things To Bring:

Required: Shin Guards, Water, Camp Shirt (Or pick up at the camp)

Optional: Soccer Ball, Cleats

We are super excited to see you at our camp! If you have any questions, please reach out to tigeryouthsoccerbellevue@gmail.com