Liverpool Football Club International Academy Soccer Schools 2015 Registration Form

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1 Liverpool Football Club International Academy Soccer Schools 2015 Registration Form Day Camp Session Choice: (please check the appropriate box) Day Camp Session 1: Day Camp Session 2: Monday August 3 Friday August 7 Boys, 5 15 Monday August 17 Friday August 21 Boys, 5 15 Details of Participant: First Name: Family Name: Address: City, State, Zip Code: Country: Date of birth: Nationality: Home phone: Mobile phone: Health Problems: (e.g. asthma, allergies, etc.) Dietary Requirements: (e.g. vegetarian, halal, kosher) Does the participant take medication on a regular basis? If yes, please provide details here and attach an additional page if necessary: Does the participant currently have or has the participant previously had any serious illness, injury, or allergies which may affect their participation in this sports camp? If yes to any of these questions, please provide details here and attach an additional page if necessary: This sports camp has vigorous exercise each day. The participant has received the required medical clearance for full participation in all events: Details of Parent/Guardian: YES NO Relationship: First Name: Family Name: Address: City, State, Zip Code: Home phone: Primary Country: Mobile phone: Secondary Second Emergency First and Last Name (& Relationship): Second Emergency Home and Mobile Phone: Camp Question: Have you been to this camp before: YES NO These terms and conditions are issued by Liverpool Football Club International Academy Soccer Schools. By your completion and submittal of registration forms, you agree and acknowledge that you are over 18 years of age and that you have read and agree to the terms and conditions, including the Privacy Policy, of Soccer Camps International as provided, and as updated from time to time, on website and which includes that SOCCER CAMPS INTERNATIONAL HAS NO AUTHORITY OR CONTROL OVER THE OPERATION AND/OR RULES OF THE CAMP.

2 Liverpool Football Club International Academy Soccer Schools 2015 Registration Form AGREEMENT (PARENT / GUARDIAN) By entering my name in the box below titled SIGNATURE, I represent and certify that I am over the age of 18 and that I have the authority to enter into this agreement and that I have read, understood, acknowledge and agree to all terms and conditions herein including the terms and conditions of the applicable sports camp which I have selected for my minor child(ren), the participant(s), to attend, AND I further acknowledge that Soccer Camps International has no authority or control over the operations and/or rules of the camp therefore I agree to hold Soccer Camps International, harmless for any injuries or losses resulting from registration for, or participation in, the selected camp. I further certify that the information provided by me is accurate and that all fees and charges will be paid on or before the date on which they are due. I agree that data processed and stored will be outside of the country of origin. I grant permission to Soccer Camps International a worldwide right indefinitely, without the need for further approval or any compensation, to use the minor camper s name, photograph, video, image, voice of the participant camper in any media whatsoever for the purpose of advertising or other commercial purposes. Typing your name below shall serve as your SIGNATURE Parent/Guardian Signature: Date: How did you hear about Soccer Camps International: [PLEASE NOTE: When you register for a camp you are granting permission for the participant to fully participate in the full range of sporting and social activities and you are authorizing the selected camp to take necessary emergency measures in case of accident or incident that necessitate medical care while agreeing to be financially responsible for related medical charges AND (if needed or requested) you are granting permission to have the child driven to/from the airport/train station to the camp or for other camp related activities.] What to do next 1. Send the completed registration form to or fax: +1 (650) Once we receive your registration and payment forms, we will contact you to confirm receipt. 3. Please note that no registration is confirmed until you have received confirmation from us and payment has been made. These terms and conditions are issued by Liverpool Football Club International Academy Soccer Schools. By your completion and submittal of registration forms, you agree and acknowledge that you are over 18 years of age and that you have read and agree to the terms and conditions, including the Privacy Policy, of Soccer Camps International as provided, and as updated from time to time, on website and which includes that SOCCER CAMPS INTERNATIONAL HAS NO AUTHORITY OR CONTROL OVER THE OPERATION AND/OR RULES OF THE CAMP.

3 Liverpool Football Club International Academy Soccer Schools Terms & Conditions GENERAL 1. All applications must be accompanied by payment of the appropriate course fee. 2. You may cancel your booking without any charge providing you do so at least 7 days prior to the start of the course. There are no refunds after that time. 3. All bookings must be made in advance of the course start date. No bookings will be taken on the day of the course. 4. For cancellations made earlier than this a full refund is available. Please note that a booking can be transferred to another person without charge. 5. All courses, activities and venues are subject to change according to weather, programming and a satisfactory level of numbers. We may cancel any courses and/or change any information given, should this be necessary for any reason. If we have to cancel a course for whatever reason we will offer an alternative course (if available and suitable) or a full refund. 6. You must ensure that the participant is physically fit and able to participate in the sporting activities and accordingly you accept all risks resulting from participation in the course. 7. We may require additional information depending on the medical information supplied to us by you before we can accept your booking. 8. In the event that the participant needs medical attention during any course then, subject to any written notice (which notice we must have received prior to the commencement of the relevant course) from a parent or guardian to the contrary, you agree to us arranging for any appropriate and necessary treatment. 9. Except in respect of death or personal injury resulting from any negligence of the Club, neither The Liverpool Football Club and Athletic Grounds Limited nor any of its officers, employees or agents shall be responsible for (whether in tort, contract or otherwise): (i) any loss, damage or injury to any participant or to any property belonging to any participant in relation to the course, resulting from any cause whatsoever; (ii) for any loss of profit, loss of use, loss of opportunity or any indirect, economic or consequential losses whatsoever; and/or (iii) any losses arising from any cancellation, postponement or rearrangement of a course including but not being limited to any indirect or consequential loss or damage, loss of enjoyment or travel/accommodation costs. 10. We recommend you take out activity, travel and personal possessions insurance for all of our courses. 11. The cost of any damage caused by you or any participant you have booked on the course to any property or facilities will be passed on to you. 12. We treat as a priority the safety and wellbeing of all participants attending our courses. We therefore reserve the right to remove from our courses, without refund, any participant who is found bullying, behaving in a way that may be a danger to others or who is generally disruptive. 13. Places on all courses are limited. They will be allocated on a first come, first served basis. 14. If a course is fully booked, applicants are encouraged to sign up for our mailing list or book an alternative course. These terms and conditions are issued by Liverpool Football Club International Academy Soccer Schools. By your completion and submittal of registration forms, you agree and acknowledge that you are over 18 years of age and that you have read and agree to the terms and conditions, including the Privacy Policy, of Soccer Camps International as provided, and as updated from time to time, on website and which includes that SOCCER CAMPS INTERNATIONAL HAS NO AUTHORITY OR CONTROL OVER THE OPERATION AND/OR RULES OF THE CAMP.

4 15. Liverpool Football Club players do not attend any of our courses. 16. You agree to grant us the worldwide right in perpetuity, without approval or compensation, to use the participant's name, photographic or video image or likeness for our reasonable commercial purposes. You also agree to grant us permission to use any online feedback for our reasonable commercial purposes. 17. We do not allow any cameras, telephone images, video or other filming or recording equipment on courses by anyone other than our own LFC officially designated photographers and accordingly neither you nor the participant may record or attempt to photograph or record (whether permanently or transiently) or transmit moving images or voices of anyone at the course. Liverpool Football Club do not guarantee that every participant will be photographed on his chosen course by our official designated photographer. 18. Parents and guardians will only be permitted to enter the LFC Academy training ground to register their child at the start of our soccer schools. Those who wish to observe any training before collecting their child will be allowed access to watch the final hour of their chosen course. Times will be confirmed by our Head Coach at registration on the first day of training. 19. Neither you nor the participant shall disclose or use any aspect of our course for commercial purposes. Course places cannot be resold for any commercial gain. 20. If you are not the participant's parent or guardian, you confirm that you have made such parent or guardian fully aware of this booking and of these terms and conditions (and that they have agreed to them). 21. Information relating to a booking will not be disclosed to anyone other than the adult who has directly made the booking. 22. Liverpool Football Club will not be responsible for any items lost or left behind at any of our courses nor will Liverpool Football Club be responsible for returning any said items. These terms and conditions are issued by Liverpool Football Club International Academy Soccer Schools. By your completion and submittal of registration forms, you agree and acknowledge that you are over 18 years of age and that you have read and agree to the terms and conditions, including the Privacy Policy, of Soccer Camps International as provided, and as updated from time to time, on website and which includes that SOCCER CAMPS INTERNATIONAL HAS NO AUTHORITY OR CONTROL OVER THE OPERATION AND/OR RULES OF THE CAMP.

5 SOCCER CAMPS INTERNATIONAL CARDHOLDER CHARGE AUTHORIZATION FORM Payment of fees for: Name of Participant(s) Name of Sports Camp: Date of Attendance: This letter shall serve as authorization for SOCCER CAMPS INTERNATIONAL, 3790 El Camino Real, PMB 2018, Palo Alto, California 94306, USA, to charge the following amount(s): Payment in Full of US $ to my: Visa MasterCard American Express Discover Card #: Expiration Date (mm/yyyy): Security Code: (The non-embossed 3 numbers on the back of your Visa or MasterCard or the 4 numbers on the front of Amex card.) Cardholder Name: Billing Address: Telephone: FAX: By my signature below, I certify that I am over 18 years of age and that I am the parent or legal guardian of the camp participant and that I have read, understood, and agree to the terms and conditions on Soccer Camps International website and for the applicable camp. I agree to the above charges and agree not to chargeback such charges authorized or in any way cause a delay in the payment from the credit card company to Soccer Camps International. Please note, as per the terms and conditions provided on Soccer Camps International website, in the event that your camper/child requires urgent medical care, as determined by the specific Sports Camp, your credit card may be charged the cost of such care/treatment, or to pay for any damages to Sports Camp property caused by your camper/child, or with your prior written approval (your may serve as such) pay for additional classes, offerings or services. All fees to be in US Dollars. Typing your name below shall serve as your 'SIGNATURE' Cardholder Signature: Date:

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