'25 XC Summer Camp Registration

2 0 2 5

’25 XC Summer Camp

Runner's Information:

Runner's Name(Required)

First Last

Parents' Names(Required)

Grade for upcoming '25-26 school year(Required)

Parents' Email address(es)(Required)

Please list all who would like to receive communication.

Runner's Email address(Required)

If it is the same as previous seasons, indicate NO CHANGE.

Cell phone(Required)

Best phone to contact you during practice/meet day. Include who's phone # that is.

Camp T-shirt size

Size

Small

Medium

Large

Medical Information:

Medical information to be aware of (please be thorough with medications, food and seasonal allergies, etc.):

Family Emergency Contact Name(Required)

Emergency Contact Phone(Required)

Medical Waiver

MEDICAL WAIVER: As parents/guardians of the child registered I acknowledge and assume the risks and hazards of such participation, including transport to and from the activity and I recognize the inherent dangerousness of sporting activities. I authorize the coach or other adult volunteer to provide first aid assistance and request emergency medical assistance in the event of an injury to my child. I further agree to indemnify and hold harmless, Spire Team LLC, its directors, officers and agents for any fine, penalty or assessment issued against Spire Team LLC as a result of the conduct of my child or myself. As parent or legal guardian of the above-named athlete, I hereby give consent for emergency medical care prescribed by a duly-licensed Doctor of Medicine. This care may be given under whatever conditions are necessary to preserve the life, limb or well being of my dependent.

Choose option:(Required)

I agree to the above disclaimer

I do not agree to the above disclaimer

Parent Signature(Required)

SIGNATURE - Parent or guardian; please sign (type name) for agreement of the all stated above.

Date(Required)