Kids & Pros Clinic – June 13 – June 15 – VA | Lynchburg Registration Form

IMPORTANT: Only a Parent or Legal Guardian can submit this form!

VA- Lynchburg Camp – E.C. Glass High School 

Kids & Pros Event June 13-15– VA – Lynchburg, 6:00 to 9:00 PM.

Kids & Pros will offer a FREE Heads Up Football camp June 13-15, 2016. Current and former NFL players incorporate safe tackling techniques and position fundamentals training, along with character-based lessons, into a 3-day camp for athletes ages 7-13.

June 13-15
6:00 – 9:00 pm
E C Glass High School

2111 Memorial Ave,

Lynchburg, VA 24501


Photo Release:(*) I, personally and on behalf of any of my children, give my permission to use my and/or my child’s name, photographs, videos, quotations and likeness in any advertisements or promotions performed in connection with the Kids & Pros, Inc., camps, clinics, Pros & Joes Day events or other affiliated events, and agree that neither I nor my child shall be entitled to any compensation for such use.

GENERAL RELEASE & WAIVER – For good and valuable consideration, the sufficiency of which I hereby acknowledge, I, personally and on behalf of my son/daughter and as the parent and/or legal guardian and anyone acting on my behalf, including but not limited to attorneys, representatives, agents, heirs, executors, administrators, assigns, insurers, predecessors, successors
or any other person or entity asserting claims through me, agree to release, indemnify, defend and hold harmless: The Kids & Pros, Inc., and all of their respective directors, officers, subsidiaries, partners, agents, sponsors, employees, successors, parents, beneficiaries, heirs, executors, administrators, assigns and affiliates thereof (collectively, “Releases”), from and against any and all claims, suits, losses, damages, expenses, costs, and liabilities (including reasonable attorneys’ fees and expenses),which hereinafter may accrue or arise against the Releases & which in any way arise out of or are in anyway related to my child’s participation in the Kids & Pros, Inc. event (collectively, “the Camps”). The law requires that parental permission be obtained for operative procedures on minors. I herby give permission to Kids & Pros, Inc., to obtain medical services for my child in the case of a medical emergency or injury. However, no operation will be performed without the parents being fully informed. I hereby grant Kids & Pros, Inc., Bobby Butler and/or Buddy Curry full power to act on my behalf to give consent for medical, surgical, diagnostic, therapeutic, or other physical or mental healthcare procedures or treatment for my child/ward as may be reasonably necessary. I understand and agree that I am responsible for all charges incurred. I, PERSONALLY & ON BEHALF OF MY CHILD, ASSUME ANY & ALL RISK THAT IS IN ANY WAY ASSOCIATED WITH, RELATED TO OR OCCURS AS A RESULT OF MY CHILD’S PARTICIPATION IN THE CAMPS.

It is the policy of Kids & Pros, Inc., to promote the development of strong character, a positive attitude and a sense of responsibility and good citizenship in youngsters. It is the purpose of Kids & Pros, Inc., to achieve this goal through fair play and good sportsmanship with adult leaders providing the example. It is strictly against the policy of Kids & Pros, Inc., for any person, either as a participant, coach or spectator to engage in arguments, to use abusive language, to harass or make any threatening gestures towards referees, coaches, players or to exhibit any behavior not in concert with the general policy of this statement. Failure to abide by this policy will result in the removal from the camp immediately as well as possible future suspensions for a time and duration to be determined by Kids & Pros, Inc.

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