RM_StatsPlayer First Name *Player Last Name *Gender *Date of Birth *Grade *Select an option3rd4th5th6th7th8th9th10th11th12th Parent First Name *Parent Last Name *Cell Phone *Email *Emergency Number *Address Line 1 *Address Line 1Address Line 2(if applicable)State or Region *City *Zip Code *Country * ProgramCamp Dates *Select an optionOctober 8th 2018 (Columbus Day)November 6th 2018 (Election Day)November 12th 2018 (Veterans Day)January 21st 2019 (MLK Day)Coupon Code Medical Alerts/ ConditionsTerms & Conditions *As a participant in the above program, I recognize and acknowledge that there are certain risks of physical injury. I agree to assume the full risk of any injuries, damages or loss which I or my child may sustain as in result of such participation.
I hereby release The Zone, LLC, along with all its officials, employees and volunteers of any liability in connection with damages and/or injuries that my child may sustain as a result of participating in The Zone, LLC camp.
I further understand that The Bronx does not provide medical coverage and it is my responsibility to provide appropriate coverage. I agree to waive and relinquish all claims and hold harmless The Bronx Parks & Recreation, its officers, agents, and employees from any and all claims.