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Rhare breed training summer ready

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Jacob Navas
Jacob Navas

The document is a registration form for the Rhare Breed Training summer camp from July 9th to August 8th. It requests personal information such as name, birthdate, contact details, emergency contacts, medical conditions, and insurance information. It also includes a consent form for emergency treatment and a liability waiver. The registration fee is $150, with $10 off for each additional friend who joins.

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RHARE BREED TRAINING SUMMER READY CAMPREGISTRATION FORM JULY 9 – AUGUST 8 PERSONALINFORMATION Name: Birthday: Last First Middle Initial (mm/dd/yyyy) Email address: CONTACT INFORMATION Address: Cell Phone: CA HomePhon e: City State Zip code EMERGENCY CONTACT INFORMATION IF under 18 Parent Name: Relation: Ph. Ph. Parent Name: Relation: MEDICAL CONDITIONS Please list any conditions that may be a concern to participate in this Camp, include any medications: *** CONSENT FOR EMERGENCY TREATMENT AND RELEASE OF LIABILITY*** I understand that there are always risks involved in sports activities. I acknowledge these risks and declare my child physically able to participate in the Rhare Breed Training program. In the event of a medical emergency, I authorize any Rhare Breed Training representative to obtain emergency treatment for my child, (if my emergency contact cannot be reached). I understand the costs of medical treatment are my responsibility and that a relative of the player must be at the hospital to assure proper medical treatment. I agree to abide by the rules and regulations, as may be established by Rhare Breed Training. I, intending to be legally bound, do waive and release all rights, claims, demands, and/or causes of action against Rhare Breed Training, its partners, associates, and sponsors for any personal injuries suffered which may occur, now or in the future, arising from or out of my participation with Rhare Breed Training. I acknowledge that all videos, photographs and/or likeness taken by Rhare Breed Training, its owners, officers, employees, successors, assignors and anyone acting under the authority or permission thereof, to make and copyright photographs and video ("Photographs and "video" as used herein include any reproductions of my likeness, voice, name and/or image) can and will be used and distributed for promotional purposes. Insurance Provider: ID#: REGISTRATION COSTS Registration fee: $150 *Cash, Money order or Major Credit Card $10 off each friend who joins Name (Print) Signature Date Ph. (909)276-4131 Fax. (909)980-7908
RHARE BREED TRAINING SUMMER READY CAMPREGISTRATION FORM JULY 9 – AUGUST 8 Ph. (909)276-4131 Fax. (909)980-7908

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Rhare breed training summer ready

  • 1. RHARE BREED TRAINING SUMMER READY CAMPREGISTRATION FORM JULY 9 – AUGUST 8 PERSONALINFORMATION Name: Birthday: Last First Middle Initial (mm/dd/yyyy) Email address: CONTACT INFORMATION Address: Cell Phone: CA HomePhon e: City State Zip code EMERGENCY CONTACT INFORMATION IF under 18 Parent Name: Relation: Ph. Ph. Parent Name: Relation: MEDICAL CONDITIONS Please list any conditions that may be a concern to participate in this Camp, include any medications: *** CONSENT FOR EMERGENCY TREATMENT AND RELEASE OF LIABILITY*** I understand that there are always risks involved in sports activities. I acknowledge these risks and declare my child physically able to participate in the Rhare Breed Training program. In the event of a medical emergency, I authorize any Rhare Breed Training representative to obtain emergency treatment for my child, (if my emergency contact cannot be reached). I understand the costs of medical treatment are my responsibility and that a relative of the player must be at the hospital to assure proper medical treatment. I agree to abide by the rules and regulations, as may be established by Rhare Breed Training. I, intending to be legally bound, do waive and release all rights, claims, demands, and/or causes of action against Rhare Breed Training, its partners, associates, and sponsors for any personal injuries suffered which may occur, now or in the future, arising from or out of my participation with Rhare Breed Training. I acknowledge that all videos, photographs and/or likeness taken by Rhare Breed Training, its owners, officers, employees, successors, assignors and anyone acting under the authority or permission thereof, to make and copyright photographs and video ("Photographs and "video" as used herein include any reproductions of my likeness, voice, name and/or image) can and will be used and distributed for promotional purposes. Insurance Provider: ID#: REGISTRATION COSTS Registration fee: $150 *Cash, Money order or Major Credit Card $10 off each friend who joins Name (Print) Signature Date Ph. (909)276-4131 Fax. (909)980-7908
  • 2. RHARE BREED TRAINING SUMMER READY CAMPREGISTRATION FORM JULY 9 – AUGUST 8 Ph. (909)276-4131 Fax. (909)980-7908