highpotentialcamp-reg

Player Registration

Player Name*

First Last

Camp Fee*

Price:

Player Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Home Phone*

Mobile Phone

Highschool*

Graduation Year*

Emergency Contact

Name*

First Last

Relationship to Participant*

Primary Phone*

Secondary Phone

Media Release

Photos & Videos*

I agree that images and audio taken during Northland College activities through video and photos may be used and distributed for publication as deemed appropriate by Northland College without any limitation in space or time, and waive any rights of compensation or ownership thereto.

Yes
No

Agreement for Assumption of Risk, Indemnification, Release, and Consent for Emergency Treatment

Assumption of Risks: I understand that participation in this volunteer activity, by its very nature, carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but in each activity the risks range from: 1) minor injuries such as scratches, bruises, and sprains to 2) major injuries such as fractures, internal injuries, joint or back injuries, heart attacks, and concussions to 3) catastrophic injuries including paralysis and death. I understand that the university has advised me to seek the advice of my physician before participating in this activity. I understand that I have been advised to have health and accident insurance in effect and that no such coverage is provided for my by Northland College or the State of Wisconsin. I know, understand, and appreciate the risks that are inherent in the above-listed programs and activities. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.

Hold Harmless, Indemnity and Release: In consideration of permission for me to voluntarily participate in Northland College programs, I, for myself, my heirs, personal representatives or assigns, agree to defend, hold harmless, indemnify and release the Board of Trustees of Northland College, Northland College, and their officers, employees, agents, and volunteers, from and against any and all claims, demands, actions, or causes of action of any sort on account of damage to personal property, or personal injury, or death which may result from my participation in the above-listed program. This release includes claims based on the negligence of the Board of Trustees of Northland College, Northland College, and their officers, employees, agents, and volunteers, but expressly does not include claims based on their intentional misconduct or gross negligence. I understand that by agreeing to this clause I am releasing claims and giving up substantial rights, including my right to sue.

Consent for Emergency Treatment: I authorize Northland College and its designated representatives to consent, on my behalf, to any emergency medical/hospital care or treatment to be rendered upon the advice of any licensed physician. I agree to be responsible for all necessary charges incurred by any hospitalization or treatment rendered pursuant to this authorization.

Understanding of Agreement*

I understand and have read the above agreement for assumption of risk, indemnification, release, and consent for emergency treatment.

Agreement of Parent or Guardian if Participant is Under 18*

By entering your full name in this field you are agreeing that you have read and accept the conditions of Northland College's assumption of risk, indemnification, release, and consent for treatment.

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Total

$0.00

Name*

First Last

Email*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Be certain to click the SUBMIT button. You will receive an email confirmation soon after submitting the form. If you do not receive an email confirmation, it means your form did not go through and you need to resubmit.

Phone

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Northland College

Men’s Basketball

High potential prep camp.

Player Registration

Emergency Contact

Media Release

Agreement for Assumption of Risk, Indemnification, Release, and Consent for Emergency Treatment

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