Summer Camp Registration
Registration Form not accompied with proper payment will be automatically discarded.
Please fill out the registration form. Under "comments" you can add any other information you think might help us to provide your child with a better program or is important regarding health ie., allergies etc. Registration is not complete until payment is recieved. Thank you.
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| Child Information |
| First Name: |
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| Last Name: |
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| Age: |
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| Birthdate: |
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| Address Street : |
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| Address Street : |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Parent/Guardian Information |
| Parent First Name: |
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| Parent Last Name: |
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| Daytime phone: |
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| Cell phone: |
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| E mail: |
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| Please select weeks your child will be participating |
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Week 1
6/9- 6/12: |
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| Week 2 6/16- 6/19: |
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| Week 3 6/23- 6/26: |
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| Week 4 6/30- 7/3: |
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Week 5
7/7- 7/10: |
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| Week 6 7/14- 7/17: |
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| Week 7 7/21- 7/24: |
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| Week 8 7/28- 7/31: |
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| Week 9 8/4- 8/7: |
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| Week 10 8/11- 8/14: |
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| Refered by |
| Refered by:: |
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| Refered by Name |
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| Waivers |
Registration
Agreement
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I agree to abide by all rules, regulations, and by laws as set forth by Ferrer Enterprises Inc, Gabriel Ferrer, their assigns, licensees and legal representatives. I represent that I am a parent/legal guardian to the participant and I agree and understand that all deposits and fees are non-refundable under all circumstances and there are no guarantees to the number of games or amount of time the participant will play.
I HAVE READ THIS REGISTRATION AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. |
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have read and agree with this Registration Agreement (Initial box if agree) |
Liability
Release
Waiver |
In consideration of being allowed to participate in any way in Ferrer Enterprises Inc, Gabriel Ferrer, related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1. The risk of injury from the activities involved in the program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next to kin, HEREBY RELEASE AND HOLD HARMLESS Ferrer Enterprises Inc, Gabriel Ferrer, their officers, officials, agents and / or employees, other participants sponsoring agencies, sponsors, advertisers, and, if applicable, (owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE; and,
5. I willingly agree to comply with all rules and regulations set forth; and,
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. |
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have read and agree with this Registration Agreement (Initial box if agree) |
Model
Release
Waiver |
I, do hereby give Ferrer Enterprises Inc, Gabriel Ferrer, their assigns, licensees and legal representatives the irrevocable right to use both the participant and my picture, name, and likeness free of charge in any manner for any purpose without compensation to participant or me in all manners, for advertising, trade, or any other lawful purposes, and I waive any right to inspect or approve the finished product, including written copy, that may be created in connection therewith. I represent that I am a parent/legal guardian to the participant and I agree that the grant and release contained therein binds me and the minor to all of the terms; and
I HAVE READ THIS MODEL RELEASE, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. |
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have read and agree with the model Release Wave |
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understand late pick up fee will apply after 10 min. grace period. |
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understand that there will be no refunds given. (Initial box if agee) |
| Other Information |
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| AFTER SUBMITING THIS FORM YOU WILL BE DIRECTED TO THE HOME PAGE WHERE YOU WILL FIND THE PAYMENT TAB TO FULLY COMPLETE THE REGISTRATION.
IF YOU RATHER PAY BY CHECK YOU CAN MAIL IT WITH THE FOLLOWING INFORMATION AT:
FERRER ENTERPRISES, INC
3470 WILD OAK BAY BLVD. #151
BRADENTON- FLORIDA 34210
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