Please select ALL weeks that your child will be attending

Week# 1 : 5 Day Summer Camp (July 5 - July 9)
Terry Hughes Park, New Westminster

Week# 2: 5 Day Summer Camp (July 12 - July 16)
Queens Park (Grass), New West

Week# 3: 5 Day Summer Camp (July 19 - July 23)
Terry Hughes Park, New West

Week# 4: 5 Day Summer Camp (July 26 - July 30)
Queens Park (Grass), New West

Week# 5: 5 Day Summer Camp (Aug 9 - Aug 13)
Terry Hughes Park, New West

Week# 6: 5 Day Summer Camp (Aug 17 - Aug 21)
*GIRLS ONLY EVENT*
Terry Hughes Park, New West

Week# 7: 5 Day Summer Camp (Aug 23 - Aug 27)
Queen's Park (Grass), New West


I hereby authorize any images or video footage taken of my youth (under 18 years of age), in whole or in part, individually or in conjunction with other images and video footage, to be displayed on the VanCity Pro Football Academy Website and other official channels, and to be used for media purposes including promotional presentations and marketing campaigns. I also authorize the display and use of any media material created by my youth within the British Columbia Academy Super League.

I waive rights to privacy and compensation, which I may have in connection with such use of my youth’s name and likeness, including rights to be written copy that may be created in connection with video production, editing and promotion therewith.

I am over 19 years-of-age and the parent or legal guardian of the youth, and I have read this waiver and am familiar with its content.
In consideration of VanCity Pro Football Academy (VPFA) allowing my child/ward to participate in soccer programs, use its equipment and facilities and providing its soccer services and consultation, I hereby agree as follows:

TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against VPFA AND TO RELEASE VPFA from any and all LIABILITY for any loss, damage, expense or injury
including death that I or my child/ward may suffer or that my next-of-kin may suffer as a result of my or my child’s/ward’s participation in soccer programs DUE TO ANY CAUSE
WHATSOEVER, including but not limited to:
negligence on the part of VPFA;
breach of contract by VPFA, including a breach of the Academy’s Privacy Policy;
breach of warranty on the part of VPFA in respect of the design, manufacture, selection, installation, maintenance or adjustment of equipment;
breach of any statutory or other duty of care including any duty of care owed under the Occupiers Liability Act, R.S.B.C. 1996, c. 303, on the part of VPFA; and the failure on the part of VPFA to safeguard or protect me or my child/ward from the risks, dangers and hazards of soccer programs, some of which are referred to in the Assumption of Risks section of this Agreement.

TO HOLD HARMLESS AND INDEMNIFY VPFA from any and all liability for any damage, loss, expense or injury to my child/ward resulting from my child’s/ward’s participation in
soccer programs DUE TO ANY CAUSE WHATSOEVER, including but not limited to negligence on the part of VPFA; breach of contract by VPFA, including a breach of the Academy’s Privacy Policy; breach of warranty on the part of VPFA in respect of the design, manufacture, selection, installation, maintenance or adjustment of equipment; breach of any statutory duty or other duty of care including any duty of care owed under the Occupiers liability Act, R.S.B.C. 1996, c. 303, on the part of VPFA; and the failure on the part of VPFA
to safeguard or protect my child/ward from the risks, dangers and hazards of soccer programs

TO HOLD HARMLESS AND INDEMNIFY VPFA from any and all liability for any damage, loss, expense or injury to any third party resulting from my child’s/ward’s participation in
soccer programs.

Despite the risks, dangers and hazards of soccer programs, and fully understanding such risks, dangers and hazards, I wish my child/ward to participate in soccer programs with the
Association, and I FREELY ACCEPT AND FULLY ASSUME all such risks, dangers and hazards and the possibility of personal injury, death, property damage and loss resulting therefrom.

To instruct my child/ward to abide by, and conduct him/herself in accordance with, the Bylaws, Rules and Regulations of the VanCity Pro Football Academy, British Columbia Academy Super League, Soccer Academies Alliance Canada, Canadian Soccer Association and related soccer bodies.

This Agreement shall be effective and binding upon my child/ward’s heirs, next-of-kin, executors,
administrators, assigns and representatives, in the event of my child/ward’s death or incapacity.

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