After School Pickleball Camp Enrolment Form

After School Pickleball Camps Sign Up Form (Jan - Mar 2024) (#27)

Child's Name

Parent / Guardian 1 Name

Cell

Parent / Guardian 2 Name

Cell

Names and phone numbers of others authorised to collect your child

Name of family doctor

Are there any medical issues or allergies that we should be aware of?

Child's age

How many days per week would your child like to attend After School Kids Camp?

How would you like to pay?

Bill to my Pickleball Cayman account

I'll send a bank transfer

Please check below to accept the terms of our program

I certify that I am the legal parent/guardian of the above-named participant, and that s/he has my permission to participate in the activity. I agree to assume full responsibility for any injuries incurred by them in connection with this activity. Should a medical emergency arise, I will be notified immediately. If I am not available for consultation, permission is granted for Pickleball Cayman staff & volunteers to obtain medical treatment as deemed necessary. I understand that all damages caused by the participating child shall be paid by me to the owners of any damaged items. I also realize that I will be contacted immediately if the minor fails to comply with acceptable rules of conduct. In consideration of participation in the activity, I agree to indemnify and hold Pickleball Cayman harmless and release its officers, employees, volunteers and agents from any liability of any injury arising out of or in any way connected with participation in the activity. I further understand that Pickleball Cayman does not carry medical insurance for its participants. Further, I acknowledge that I have read and agree, in full, to the terms of the Pickleball Cayman After School Program Refund Policy.

Any other comments