summer chess shary isd 2018 flyer - 0201.nccdn.net · the chess camp at sharyland isd, regardless...
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-------------------------JohnH.SharySummerChessCampRegistrationForm--------------------------
CampersFullName:___________________________________________________Male_______Female_______
DateofBirth:_____________________Ageduringcamp:_______Phonenumber:_____________________________
Address:_______________________________________City:_________________State:_______Zip:_____________
School:________________________________________Grade:_______USCF#(ifany)_________________________
WaiversandInformedConsent:Bysigningthisform,I,asparent/guardian,permitDarkKnightsChessandSharylandISDtousepicturesofmychildasaprogramparticipantinpromotionalliterature,videos,andtheDarkKnightsChess/SharylandISDwebsites.Iunderstandmychild’snamewillnotbepublished.I,asparent/guardianof______________________________(“Child”),herebyassumeallrisksandhazardsincidentaltotheconductoftheactivitiesatthechesscamp.MyChildisfitforthecampinwhichIhaveenrolledhim/her.IHERELYRELEASEANDSHALLDEFEND,INDEMNIFYANDHOLDHARMLESSRELEASEESFROMEVERYCLAIMANDANYLIABILITYTHATIORMYCHILDMAYALLEGEAGAINSTRELEASEES(includingreasonablelegalfeesandcosts)ASADIRECTORINDIRECTRESULTOFINJURYORDEATHTOMEORMYCHILDBECAUSEOFMYCHILD’SPARTITIPATIONINANYDARKKNIGHTSCHESS/SHARYLANDISDCAMP,WHETHERCAUSEDBYTHENEGLIGENCEOFRELEASEESOROTHERSTOTHEMAXIMUMEXTENTPERMITTEDBYLAW.IPROMISENOTTOSUERELEASEESONMYBEHALFORONBEHALFOFMYCHILDREGARDINGANYCLAIMARISINGFROMORRELATEDTOMYCHILD’SPARTICIPATIONINANYDARKKNIGHTSCHESS/SHARYLANDISDCAMP.IACKNOWLEDGETHAT,BYSIGNINGTHISDOCUMENT,IAMRELEASINGDARKKNIGHTSCHESS,SHARLANDISD,ANDTHEIRREPRESENTATIVES,AGENTS,EMPLOYEES,VOLUNTEERS,MEMBERS,SPONSORS,PROMOTERS,ANDAFFILIATES(COLLECTIVELY“RELEASEES”)FROMLIABILITY,ANDTHATIAMGIVINGUPSUBSTANTIALLEGALRIGHTS.THISSIGNUPANDRELEASEFORMISACONTRACTWITHLEGALANDBINDINGCONSEQUENCESANDITAPPLIESTOALLACTIVITIESINWHICHMYCHILDENGAGESDURINGTHECHESSCAMPATSHARYLANDISD,REGARDLESSOFWHETHERSUCHACTIVITYISAPARTOFAFORMALPROGRAM.IHAVEREADTHISRELEASECAREFULLYBEFORESIGNING.IUNDERSTANDWHATTHISRELEASEMEANSANDWHATIAMAGREEINGTOBYSIGNING.Byregisteringforthisprogram,IunderstandandagreethatifaportionoftheprogramisunabletobecompletedduetounforeseencircumstancesunderresponsibilityofDarkKnightsChess/SharylandISD,Iwillreceiveaproratedcreditfortheuncompletedportionoftheprogram.Ialsounderstandthatnorefundsorprorationwillbegivenforanyotherreason.
Signature:_____________________________________Date:__________________________
Parent/GuardianPrintedName:___________________________________________Parent______Guardian
ParentEmail:______________________________________
RegistrationFee:$65.00/$75.00for1weekCash_____Check_____PayPal_____DatePaid:______________
PLEASEMAKEALLCHECKSPAYABLETO:DarkKnightsChessPre-RegistrationDeadline:Friday,June15,2018
06/1806/22
65.00
dkchess.com/OLReg.html