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Item Quantity Qty Total

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Camp Price 1 $0.00

Choose Extended Care (Player 1) – Extended Morning (8-9 AM, Mon-Fri) 1 $100.00

Choose Extended Care (Player 1) – Extended Afternoon (3-5 PM, Mon-Fri) 1 $200.00

Choose Extended Care (Player 1) – Extended Morning & Afternoon 1 $300.00

Choose Soccer Ball (Player 1) – Puma soccer ball, size 3, ages 4-7 (tax incl.) 1 $32.00

Choose Soccer Ball (Player 1) – Puma soccer ball, size 4, ages 8-12 (tax incl.) 1 $32.00

Choose Soccer Ball (Player 1) – Puma soccer ball, size 5, ages 13+ (tax incl.) 1 $32.00

Choose Shin Guard (Player 1) – Puma shin guard, size XS, ages 4-7 (tax incl.) 1 $27.50

Choose Shin Guard (Player 1) – Puma shin guard, size S, ages 8-12 (tax incl.) 1 $27.50

Choose Extended Care (Player 2) – Extended Morning (8-9 AM, Mon-Fri) 1 $100.00

Choose Extended Care (Player 2) – Extended Afternoon (3-5 PM, Mon-Fri) 1 $200.00

Choose Extended Care (Player 2) – Extended Morning & Afternoon 1 $300.00

Choose Soccer Ball (Player 2) – Puma soccer ball, size 3, ages 4-7 (tax incl.) 1 $32.00

Choose Soccer Ball (Player 2) – Puma soccer ball, size 4, ages 8-12 (tax incl.) 1 $32.00

Choose Soccer Ball (Player 2) – Puma soccer ball, size 5, ages 13+ (tax incl.) 1 $32.00

Choose Soccer Ball (Player 2) – Puma shin guard, size XS, ages 4-7 (tax incl.) 1 $27.50

Choose Soccer Ball (Player 2) – Puma shin guard, size S, ages 8-12 (tax incl.) 1 $27.50

Choose Extended Care (Player 3) – Extended Morning (8-9 AM, Mon-Fri) 1 $100.00

Choose Extended Care (Player 3) – Extended Afternoon (3-5 PM, Mon-Fri) 1 $200.00

Choose Extended Care (Player 3) – Extended Morning & Afternoon 1 $300.00

Choose Soccer Ball (Player 3) – Puma soccer ball, size 3, ages 4-7 (tax incl.) 1 $32.00

Choose Soccer Ball (Player 3) – Puma soccer ball, size 4, ages 8-12 (tax incl.) 1 $32.00

Choose Soccer Ball (Player 3) – Puma soccer ball, size 5, ages 13+ (tax incl.) 1 $32.00

Choose Shin Guard (Player 3) – Puma shin guard, size XS, ages 4-7 (tax incl.) 1 $27.50

Choose Shin Guard (Player 3) – Puma shin guard, size S, ages 8-12 (tax incl.) 1 $27.50

Choose Extended Care (Player 4) – Extended Morning (8-9 AM, Mon-Fri) 1 $100.00

Choose Extended Care (Player 4) – Extended Afternoon (3-5 PM, Mon-Fri) 1 $200.00

Choose Extended Care (Player 4) – Extended Morning & Afternoon 1 $300.00

Choose Soccer Ball (Player 4) – Puma soccer ball, size 3, ages 4-7 (tax incl.) 1 $32.00

Choose Soccer Ball (Player 4) – Puma soccer ball, size 4, ages 8-12 (tax incl.) 1 $32.00

Choose Soccer Ball (Player 4) – Puma soccer ball, size 5, ages 13+ (tax incl.) 1 $32.00

Choose Shin Guard (Player 4) – Puma shin guard, size XS, ages 4-7 (tax incl.) 1 $27.50

Choose Shin Guard (Player 4) – Puma shin guard, size S, ages 8-12 (tax incl.) 1 $27.50

Choose Extended Care (Player 5) – Extended Morning (8-9 AM, Mon-Fri) 1 $100.00

Choose Extended Care (Player 5) – Extended Afternoon (3-5 PM, Mon-Fri) 1 $200.00

Choose Extended Care (Player 5) – Extended Morning & Afternoon 1 $300.00

Choose Soccer Ball (Player 5) – Puma soccer ball, size 3, ages 4-7 (tax incl.) 1 $32.00

Choose Soccer Ball (Player 5) – Puma soccer ball, size 4, ages 8-12 (tax incl.) 1 $32.00

Choose Soccer Ball (Player 5) – Puma soccer ball, size 5, ages 13+ (tax incl.) 1 $32.00

Choose Shin Guard (Player 5) – Puma shin guard, size XS, ages 4-7 (tax incl.) 1 $27.50

Choose Shin Guard (Player 5) – Puma shin guard, size S, ages 8-12 (tax incl.) 1 $27.50

Subtotal

Total $0.00

Camp Price

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Agreed Waivers

Required Waiver for World Cup Soccer Camps

Parental Consent

I grant my child(ren) permission to participate in all programs offered by World Cup Soccer Camps/Classes (“WCSC”), including but not limited to camps, classes, clinics, trainings, and related activities conducted at various locations. I understand that soccer and related activities are physically demanding and involve inherent risks of injury. On behalf of my child(ren), I voluntarily assume all such risks and waive, release, and discharge any and all claims of liability against WCSC, its owners, directors, officers, employees, agents, and any host entities, including but not limited to cities, schools, school districts, and private or public facilities where WCSC programs are conducted. I acknowledge that my child(ren) will participate using appropriate equipment and with my full permission, and that such participation is at their own risk.

In the event of an emergency, I authorize WCSC to obtain medical treatment for my child(ren), including emergency care, as deemed necessary. I grant WCSC permission to photograph and/or record my child(ren) during participation in any WCSC program. I understand that such media may be used for promotional, marketing, or educational purposes in formats including, but not limited to, print, digital, social media, and broadcast, without compensation. If I do not wish for my child(ren)’s image to be used, I will notify WCSC in writing at camps@worldcupsoccercamps.com.

By registering for any WCSC program, I acknowledge and agree to comply with all applicable local and state health and safety guidelines in effect at the time of participation.

City of Palo Alto Waiver

I give permission to participate in the following programs, including any associated travel sponsored by the City of Palo Alto Community Services Department, for myself and/or child as named. In consideration for participation in the programs, I agree to the following: I understand that participating in the programs is a voluntary activity that I am choosing to participate in and is not required. I understand that there are inherent risks in participating in the programs which may be both foreseen and unforeseen and include illness, physical injury, and death.

I understand that there is a coronavirus pandemic in effect, that the City will provide the programs in compliance with state and local health guidelines. I understand that even when operating under such guidelines, there is still a risk of being infected by coronavirus. I understand that participants may be required to use safety gear consistent with such guidelines, including, without limitation, face coverings and hand sanitizer, and will be required to follow guidelines related to social distancing, possible exposure, quarantine, and other safety protocols. I understand that there are individuals who may be medically exempt from wearing a mask or face covering throughout the class. I agree that participants must be symptom free (no coughing or fever) in order to participate in the program.

Additionally, I agree to ASSUME ALL RISKS of participating in the programs. I agree to DISCHARGE AND RELEASE (agreeing to make no claim and not to sue) and HOLD HARMLESS the City of Palo Alto, its employees, its agents, its independent contractors, and volunteers working for the City, from any and all liability for injury suffered by me or my child arising from or connected with these programs. I understand and agree that this ASSUMPTION OF THE RISK, DISCHARGE AND RELEASE, AND HOLD HARMLESS includes any claims relating to the actions, omissions, or negligence of the City, its employees, agents, independent contractors, and volunteers.

If participant’s family member or someone in close contact with the participant (outside of this program) tests positive for COVID-19, or if participant tests positive for COVID-19, I give permission for the City to notify other people in contact with the participant (including other program participants, staff, and volunteers) that they may have been exposed to COVID-19. In doing so, the City shall not identify the participant or their family by name except as required by government mandates.

I acknowledge that I have carefully read this liability waiver and understand the information herein, and that I agree to each of the terms and acknowledgments in this liability waiver.

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