PARENT/GUARDIAN AGREEMENT

Recognizing that Footfire Soccer Camp, a Playing Life Academy program, will do its best to ensure a safe experience, I understand, agree and acknowledge that some activities may be of a hazardous nature and/or include physical and/or strenuous activity and that soccer training may include physical contact. I understand and agree that “heading” the soccer ball - using the head to control the ball - under any circumstances is strictly prohibited.

I understand that I am required to disclose an officially diagnosed medical condition, special need and/or any behavioral issue of my son/daughter, hereafter referred to as “the Camper or CIT (Counselor In Training) listed in this form”. Such disclosure is necessary for the well-being and safety of the camper listed in this form and that of all Footfire Soccer Camp participants. I recognize that failure to disclose such may adversely affect the participation of the Camper listed in this form. Understanding this, I state to the best of my knowledge that the Camper or CIT listed in this form has no medical conditions or behavioral issues that would hinder his/her active participation in Footfire Soccer Camp. I understand that it is my responsibility to update Footfire Soccer Camp of developments regarding the medical condition, special need and/or behavioral issue of the Camper listed in this form. Should Footfire Soccer Camp determine that the medical condition, special need and/or behavioral issue of the Camper or CIT listed in this form hinder the program in providing a safe summer camp service to all participants, Camper or CIT listed in this form will be dismissed with refund.

I understand that Footfire will endeavor to observe and comply with all Covid related rules and protocols as established by the State, County, and Berkeley City Health Departments with respect to daily operations to the greatest degree possible. I understand this includes excluding without refund the Camper or CIT listed in this form from participation should they have an elevated temperature, exhibit a cough or other flu-like symptoms; be exposed to Covid-19 or its variants; or be infected with Covid-19 or its variants. The Camper or CIT listed in this form will be allowed to return to Footfire only with proof of a negative Covid test.

I understand that at the discretion of the Footfire Summer Camp Co-Directors and/or Staff the Camper or CIT listed in this form may be dismissed without refund for inappropriate behavior.

In the case of injury, I authorize the Co-Directors and/or Staff of Footfire Soccer Camp to render first aid and/or obtain whatever medical treatment he/she deems necessary for the welfare of the Camper or CIT listed in this form. I further understand and agree that I will be financially responsible for all charges and fees incurred in the rendering of said treatment, regardless of whether my insurance would cover such charges and fees.

I understand that Footfire Soccer Camp reserves the right to cancel camp in the event of an emergency, such as a natural disaster, poor air quality, camp exposure to Covid-19 or its variants, and/or the camp site becomes inaccessible for use. Footfire Soccer Camp Staff will contact me as soon as possible with pertinent information. I understand cancellation may require early pick-up and/or change in drop-off and/or pick-up location. I understand there is no refund for cancellation in the event of emergency, natural disaster, poor air quality, exposure to Covid-19 or its variants, and/or camp site inaccessibility. I understand that Footfire is not responsible for any losses or liability due to cancelation of camp.

I understand and agree I am assuming full and voluntary responsibility and knowingly assume all such risks entailed by emergencies, natural disasters, Covid-19 exposure and/or infection, death or personal injury, property loss, or damage suffered by the Camper or CIT listed in this form.

Knowing this and by submitting my selection of the “I agree to this Parental/Guardian Consent Agreement Form”, I am agreeing to release, indemnify, and hold Footfire Soccer Camp, Playing Life Academy, and Staff harmless forever from any and all liability costs, including attorney fees, associated with or arising from the participation of the Camper or CIT listed in this form in Footfire Summer Soccer Camps.

I understand, and give my consent for images (photos, video footage, etc.) of the Camper or CIT listed in this form at Footfire Soccer Camp to be used for promotional purposes in the future.

I am the parent or legal guardian of the Camper or CIT listed in this form. I have read, understood, and agree to the terms and conditions of this form. I understand I am giving up substantial rights including my right to sue. I acknowledge I am accepting this Agreement freely and voluntarily, and intend by my acceptance a complete and unconditional release of all liability to the greatest extent allowed by law.