WEE SOCCER | FALL 2024 DETAILS: A 6 week soccer clinic for boys and girls ages 3-7, focused on developing and honing fundamental skills. Bring your own water and soccer ball (write your name on it). FOR AGES: 3-7 year old DATES/TIMES: Sept 3rd, 10th, 17th, 24th, Oct 1st & 8th,Session 1: 4:15 – 5 pm Session 2: 5:15 – 6 pm – FULL LOCATION: Lubbock Christian Practice Fields29th and Dover Street, LBK, TX COST: $110 per athlete Registration Form Dates Please Select Your session Session 2: 5:15 - 6 pm Session 1: 4:15 - 5pm Athletes Name Age Athlete's Dominant Foot Right Left Birthdate Gender Boy Girl Parent/Guardian Name Parent/Guardian Cell Number Parent/GuardianEmail Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe Is the athlete prescribed an inhaler? If yes, please explain any instructions. How did you hear about us? Informed Consent and Acknowledgement: I hereby give my approval for my child’s participation in any and all activities prepared by Lubbock Wee Sports during the selected clinic/camp. In exchange for the acceptance of said child’s candidacy by Lubbock Wee Sports ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Lubbock Wee Sports, and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected clinic/camp sessions. In case of injury to said child, I hereby waive all claims against Lubbock Wee Sports, including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball, soccer and track. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death. I give permission to Lubbock Wee Sports and its related and affiliated entities, officers/directors, employees, and agents to take video and photographic images, or other reproductions or likenesses in any media form (collectively "Images") of my participating child and their participation in the programs and activities. I consent to and authorize and license Lubbock Wee Sports to use these images on Lubbock Wee Sports social media, website and any marketing or promotional materials, and in any other lawful uses in any medium. I agree that all images are and shall remain the property of Lubbock Wee Sports. Medical Release and Authorization: As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the Lubbock Wee Sports, and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence. Submit