Summer Chess Shary ISD 2018 Flyer - 0201.nccdn.net · the chess camp at sharyland isd, regardless...

-------------------------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