I. PARENTAL CONSENT

I, {field:full_legal_name_of_parent_guardian_1610560399529}, the parent or legal guardian of {field:full_name_of_participant_1610560321455}, a participant in a New World Agency Inc. camp/clinic, does hereby grant permission for his/her participation in any and all conditioning camp/clinic activities.

II. PHOTO RELEASE

I give permission for photographs and/or videos taken of my child while participating in a New World Agency Inc. camp/clinic, to be used in marketing and/or public relations material in the promotion of New World Agency Inc. camps/clinics.

III. RELEASE FROM LIABILITY

I agree to assume all risks and hazards incidental to participation in a conditioning camp/clinic. I do hereby waive, release, absolve, indemnify, and agree to hold harmless, New World Agency Inc, the officers, directors, coaches, sponsors, volunteers, individual chapters, participants, and persons transporting my child to and from any team activities, for any claim arising out of an injury to my child, whether the result of negligence or any other cause.

IV. MEDICAL RELEASE

Because your child is involved in an active conditioning camp/clinic, there may be an occasion when an injury occurs that requires medical treatment and we are unable to contact you. This situation may occur before, during or after our conditioning camp/clinic while at our site. Please list any allergies and medical conditions that should be brought to our attention. Include any medication(s) that your child uses regularly. Please bring in ziplock with name on it and give to trainer: I hereby grant permission to the New World Agency Inc. to administer first aid, secure proper treatment, and/or hospitalize my (son, daughter, ward) in case of emergency, provided they are unable to communicate with me, and according to their best judgment.

I HEREBY ACKNOWLEDGE BY MY SIGNATURE THAT I HAVE READ, UNDERSTOOD, ACCEPTED, AND AGREED TO THIS DOCUMENT. I ALSO ACKNOWLEDGE WITH MY SIGNATURE THAT I HAVE RECEIVED A COPY OF THIS AGREEMENT.

Registration Form – QB

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