LONG ISLAND SOCCER ACADEMY
   CAMPER CONSENT FORM   
20 SUMMER 21

AS PARENT OR LEGAL GUARDIAN OF THE APPLICANT, I AUTHORIZE THE LONG ISLAND SOCCER ACADEMY CAMP TO REQUEST MEDICAL TREATMENT AS NECCESSARY TO INSURE THE WELL BEING OF THE APPLICANT. WE, THE UNDERSIGNED, FOR OURSELVES, OUR HEIRS,  EXECUTORS AND ADMINISTRATORS, WAIVER AND RELEASE AND FOREVER DISCHARGE LONG ISLAND SOCCER ACADEMY, THEIR STAFF, OFFICERS, AGENTS, REPRESENTATIVES, EMPLOYEES, SUCCESSORS OF AND FROM ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES TO PERSON OR PROPERTY WHICH MAY BE SUSTAINED OR OCCUR DURING PARTICIPATION IN ACTIVITIES TO OR FROM THE PROGRAM, WHETHER SAID DAMAGES, INJURY OR LOSS ARE DUE TO NELIGENCE OR NOT.*

THANK YOU FOR COMPLETING THE CONSENT FORM! YOUR REGISTRATION IS NOW COMPLETE. PLEASE CHECK YOUR EMAIL FOR YOUR NEXT STEPS.