Fee: $325 per session
($100 nonrefundable due to variable costs)
Session 1: June 24 – June 27
Session 2: July 15 – July 18
Session 3: July 22 – July 25
Session 4: July 29 – August 1
The undersigned
Medical Treatment/ Emergency
a) authorize(s) Five Star Flag Football, in the event of an emergency to use its reasonable discretion, on behalf the undersigned, the undersigned’s child(ren) or any associated spectator(s) participating in or attending at one or more of Five Star Flag Football’s current or future programs, in rendering first aid treatment and/or arranging for emergency medical care (including hospitalization), at the expense of the undersigned; the undersigned understands that Five Star Flag Football will take every reasonable step to ensure the health and safety of the athletes, and that flag football can be a demanding physical sport in which injuries might reasonably occur.
b) acknowledge(s) that notification, in writing, of any medical changes for each registered athlete must be received by Five Star Flag Football prior to the start of the athlete’s first program period.
Release
c) release(s) and indemnifies Five Star Flag Football and its directors, officers, shareholders, partners, staff, employees, consultants and representatives from all claims and liabilities whatsoever arising from participation in or attendance at one or more of Five Star Flag Football current or future programs by the undersigned, the undersigned child(ren) or any associated spectator(s); the undersigned acknowledges that participation in the demanding physical sport of Five Star Flag Football program involves a voluntary assumption of all the risks associated with the game.
Acknowledgement of Brandeis University and The City of Waltham, Massachusetts
d) understand(s) that Five Star Flag Football is in no way affiliated, associated or in any other way connected or related to the Brandeis University, The City of Waltham (the Unaffiliated Parties); the undersigned therefore releases and indemnifies the Unaffiliated Parties from all claims and liabilities whatsoever arising from participation in or attendance at one or more of Five Star Flag Football current or future programs by the undersigned, the undersigned child(ren) or any associated spectator(s).
Registration
e) understand(s) that remaining registration fees must be paid in full on the first day of the program period start date. f) agree(s) that athletes will not be admitted to program until the balance of all registration fees are paid for the program period in question. $100 is non-refundable due to variable costs.
Missed Day Policy
g) confirm(s) that he/she understands that no make-up class or credit will be available to an athlete who misses a day of the program. Should an athlete miss more than 4 program days due to medical reasons (accompanied by a doctors’ note) a credit will be issued in the athlete’s account to be used, if space is available, for a future program period. There are no refunds for program periods
h) acknowledge(s) that while Five Star Flag Football tries to balance providing sufficient notice of cancellation and not canceling a program prematurely, Five Star Flag Football reserves the right to cancel such program
Publicity
i)consent(s) that any pictures taken by Five Star Flag Football can be used in any promotion or advertisement for the program.
Lunch, Snack, and Medication
j) understand(s) and agree(s) to provide the athletes with daily lunch (or funds to purchase from our concession stands) drink, snacks (that do not contain nuts of any kind) and all prescription medications (including epi-pens) where necessary, as well as all relevant supplies that pertain to such medications (i.e. carrying pouch, etc.)
The undersigned(s) assumes full responsibility for payment and acknowledges that he/she have read and understood all Five Star Flag Football policies and Five Star Flag Football can rely on all representations, acknowledgments and agreements made and information given. If only one parent/guardian signs this form, he/she acknowledges that he/she is also acting as agent of the other parent/guardian with authority to enroll the athlete in the program and to execute this agreement on his/her behalf and that Five Star Flag Football may fully rely on his/her authority in connection with all such matters.