Summer Sports Camp Registration

Summer Sports Camp Registration

    Student and Household Information

  • Emergency Contacts

  • Please enter the names of friends/relatives who will assume responsibility/transportation of your child if you cannot be reached.
  • Medical

  • Insurance

  • Waiver, Agreement, and Signature

  • I/We, the undersigned father and/or mother or guardian of the student named on this application, a minor, do hereby consent to his/her participation in voluntary athletic summer camp programs, and do forever RELEASE, acquit, discharge, and covenant to hold harmless the Town of Georgetown, a municipal corporation of the State of Massachusetts, and its successors, departments, officers, employees, servants, and agents, of and from any and all actions, causes of action, claims, demands, damages, costs, loss of services, expenses and compensation on account of, or in any way growing out of, directly or indirectly, all known and unknown personal injuries or property damage which we/I may now or hereafter have as the parent(s) or guardian(s) of said minor, and also all claims or right of action for damages which said minor has or hereafter may acquire, either before or after he/she has reached his/her majority resulting or to result from his/her participation in the Georgetown Summer Camp programs; FURTHERMORE, I understand that it may be necessary for my child to have medical treatment while participating in an activity and if I cannot be reached, my signature gives the school district personnel permission to use their judgment in obtaining medical service for my child and give permission to the physician to render medical treatment deemed necessary and appropriate. I understand that the school district has no insurance covering such medical or hospital costs incurred for my child; therefore, any cost incurred for such treatment shall be my sole responsibility, FUTHERMORE, we/I hereby agree to protect the Town of Georgetown and its successors, departments, officers, employees, servants, and agents against any claim for damages, compensation or otherwise on the part of said minor growing out of or resulting from injury to said minor in connection with his/her participation in the Georgetown Summer Sports camp which is a voluntary programs, and to INDEMNIFY, reimburse or make good to the Town of Georgetown or its successors, departments, officers, employees, servants and agents any loss or damage or costs, including attorney’s fees, the Town or its representatives may have to pay if any litigation arises from said minor’s intentional grossly negligent, or reckless acts or omissions while participating in sports programs.
 

Verification