SUMMER CAMP GUIDELINE FORM 2009

 

All participants must complete the following forms signed by parents/guardians:

 

All participants must sign in and sign out daily.

 

All participants must respect and listen to staff members.

 

All participants must wear appropriate clothing.

 

All participants must wear protective gear when participating in activities.

 

The following is prohibited :

 

If any of the guidelines described above are not met, One Cool World reserves the right to suspend or terminate the participants' membership without refund.

 

I have read and understood the above guidelines.

 

________________________________________________________

Participant print name Participant signature

 

______________________________________/___________________

Parent/Guardian Signature Date

 

Session 1__2__3__4__5__6___7___8___9___10___11___ 12__ Amount________ After Care:____ Day Camp _____ Total:______

 

 

 

 

 

 

 

 

REGISTRATION FORM

Last Name________________________________________ First Name_____________________________Sex__________D/O/B_______Age______

 

Mailing Address____________________________________________City_______________ Zip_________ State____Do you live in the city of Miami___

 

Parent/Guardian Name______________________________________Home Number___________Work_____________________Cell_______________

 

Emergency Contact________________________________________ Phone Number____________Relationship_________________Cell____________

 

Father Name_____________________________Company_______________________ Work Number____________email________________________

 

Mother Name_____________________________Company_______________________ Work Number_____________email______________________

Any Medical Condtion_________________________________________________________________________________________________________

Comments_________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

 

 

 

Waiver

This document must be signed by each person and in the case of minors, by the parents of each person who intends to participate in activities at One Cool World/Grove Skatepark. By signing this agreement, you agree that you will not make demand upon or sue the operator and owner of the Grove Skatepark or the City of Miami, and you agree to Indemnify the Owner and Operator of the skate park, City of Miami and save them harmless from any damages that they may incur resulting from your use of the skate park.

Recitals:
1. The undersigned understands, acknowledges and agrees that in-line skating, skateboarding, and other wheel-based activities, as are permitted at Grove Skatepark, are dangerous activities.
2. Such activities can result in injury to the person or damage to property and other.
3. The undersigned is fully aware of the risks inherent in such activities;
4. The undersigned is aware of the conditions at Grove Skatepark and is aware that those conditions may become more dangerous during the time that the undersigned is using Grove Skateboard;
5. The Undersigned acknowledges that he or she is assuming all risk of loss, damage or injury while on the premises of Grove Skateboard
6. the undersigned acknowledges that there are various levels of skills and experience required for the use of the different skate boarding / wheel based activity surfaces at Grove Skateboard and the member will abide by the rules and regulations for the use of Grove Skateboard;

After acknowledgment of the foregoing recitals and in consideration of the right to use the premises at Grove Skateboard, upon the payment of such fees as from time to time as may be established by Grove Skateboard, Inc., the undersigned hereby releases Grove Skateboard, Inc., the Operator of Grove Skateboard and One Cool World inc., the owner of the real estate where the Grove Skateboard is located, and their administrators, executors, heirs, successors, assigns and legal representatives, from and assumes the risk of any and all liability for bodily injury, death or property damage to the undersigned, or rising out of the undersigned's use of, or presence at Grove Skateboard, whether or not the injuries or damages were caused by the negligence of Grove Skateboard, Inc. or others.

The benefit of this release extends to Grove Skateboard, Inc., One Cool World Inc. and their subsidiaries, affiliates, partners, officers, directors, employees and agents, and each of their respective executors, administrators, heirs, successors, assigns, and local representatives. The undersigned agrees not to sue any and all of such persons and entities in connections with any and all damage of any nature, all injuries to the person or damage to the property of the undersigned, save and excepting only such injuries and/or damages as may result from the gross negligence or willful misconduct of Grove Skateboard.

The undersigned (or if this agreement is signed by a Parent or Guardian of a minor, the undersigned's parent or guardian) agrees to indemnify and save harmless, Grove Skateboard, One Cool World Inc, City of Miami . their partners, affiliates, officers, directors, employees and agents, and their executors, administrators, heirs, successors, assigns, and legal representatives from any and all damages, actions, causes of actions, claims, judgments, costs, and attorney's fees which may in anyway and at any time result from the members use of or presence at Grove Skateboard, including damage to the property of Grove Skateboard or One Cool World Inc.

Parent Signature:____________________________________________________________________ ____

Grove Skateboard User:___________________________Signature:_____________________________

Print Name:_________________________________Address:________________________________________

E-mail :_______________________________________________________Tel:_____________________

 

To whom it may concern:

 I understand that during my time at the One Cool World Adventure Sport Learning Center and/or activities, my photograph and/or photograph of my child may be taken by One Cool World, Adventure Learning Center, productions, supporters, organizers, and/or assigns. I agree that my photograph and/or photograph of my child including video photography, film photography, or other reproductions of my likeness or the likeness of my child may be used without charge by the One Cool World Adventure Sport Learning Center, productions, supporters, organizers and/or for it's assigns for such purpose as they deem appropriate. 

 

Childs Name_______________________________________Parents Name_______________________________Date______________

 

Print Only_________________________________________Parents Signature_______________________________________________