Soccer Camp : Franciscan Healthcare

Soccer Camp Event Registration

March 22, 2025

Ages 9-14 years old

Times: 10:30 A.M. - 12:00 P.M. (Ages 9-11)

1:00 P.M. - 2:30 P.M. (Ages 12-14)

Held at West Point-Beemer Public Schools

1200 E. Washington Street, West Point, NE 68788

This FREE camp includes:

Skills Development
Fun Activities
Small Side Games

There are limited spots available.

Participant's Name

First Name *

Last Name *

Participant's Birthdate

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Phone Number

Parent/Guardian's Name

First Name *

Last Name *

Emergency Contact's Name

First Name *

Last Name *

Emergency Contact's Phone Number

Waiver and Release Form

I hereby waive and release any and all claims, demands, and causes of action which I may have, or anyone may have through me against Franciscan Healthcare Rehabilitation, and/or school for any injuries that I may incur arising out in any way at the school during the following date of March 22, 2025. I further understand and acknowledge that neither Franciscan Healthcare Rehabilitation nor the school shall have any responsibility or liability for lost, damaged, or stolen personal property. I hereby grant Franciscan Healthcare the right and authority to photograph, film and/or record me vocally. These records may be used for promotional or publicity purposes and may be published in mass media publications, on the Franciscan Healthcare intranet or internet sites, or shown on television or movie presentations. The participant's and family's name may be used. This release is effective until revoked in writing by the undersigned.

By clicking I agree, I certify that I have read and understand the terms of the above waiver.

I Agree

Parent/Guardian ESignature

Date