First Name (required)

Last Name (required)

Birth Date (required)

Age (required)
Pre-KK123456789101112

Gender (required)
malefemale

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AKALAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

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Parent/Guardian Information

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Emergency Information

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Does the child have any allergies, chronic illness, or medical conditions? (required)
yesno

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Cherry Hill Eagles Informed Consent and Acknowledgement Form

I hereby assume all the risk of my child participating in any /all activities associated with the Cherry Hill Eagles Organizations during the 2017 spring/Fall season. I waive, Release and discharge Cherry Hill Eagles from any and all liability. I assume all risk and hazards incidental to the conduct of the activities due to the sport and release Cherry Hill Eagles from any liability and all its respective officers, agents, and representatives from any and all liability injuries they may arising out of traveling to selected events, participating in events, or returning from selected events.

I also agree to pay for any lost or stolen equipment.

I hereby consent to receive medical treatment and waive all claims against The Cherry Hill Organization. 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. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death. I understand while participating in the activity my child may be photographed. I agree to allow my child photo, video or film to be used for any legitimate purpose by the Cherry Hill Eagles Organization.

Parent/Guardian Signature (required)

Child Signature (required)