EmailMe Form - River City FINISH & FINISH, Inc.

Athlete's Name *

First Last

Athlete's D.O.B. *

MM / DD / YYYY

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Parent/Guardian

Phone# of Parent/Guardian

### - ### - ####

Email

T-Shirt/Jerseys

T-Shirt/Jersey Youth

T-Shirt/Jersey Adult

School Currently Attending

Summer Session: May 1st - July 31st Cost $500.00 ($50 registration, $150 /mo May, June, July). Ask about Sibling Discount.
(Payment Options Available)

**Make Checks Payable to: River City FINISH **

Cost includes - AAU Registration, Equipment, Team Supplies, Entries into Track Meets, Jerseys, and T-shirts.

No Athlete will be able to participate without a completed signed waiver form and payment. If you have any further questions please call or text (904) 716 - 2447 or email me directly at lorenjamesjr@gmail.com

MEDIA RELEASE FORM

Name of Parent/Guardian

authorize River City FINISH & FINISH, inc. to post images of

Name of Athlete

on the team's website & any social media publications
including, but not limited to Videos, Email Blasts, Recruiting brochures, Newsletters, Magazines,
general publications, websites, Instagram, & Twitter.

I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.

I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

Initial Here

I am the parent or legal guardian of the below named child. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

Initial Here

Signature of athlete

Clear

Name

First Last

Date Time

MM / DD / YYYY

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Signature of parent or legal guardian

Clear

(if under 18 years of age)

Parent Permission & Release of Liability

The undersigned parent, guardian, or legal
representative, hereby requests that

Name of Athlete

be allowed to participate with River City FINISH and all of its associated activities. For and in consideration of the child being allowed to participate on this team, and other valuable consideration, the undersigned parent, guardian, or legal representative on behalf of the child and the child's parents, personal representatives, assigns, heirs, and next of kin, do hereby release and hold harmless the Bishop Kenny High School, Inc.; Felipe J. Estévez, as Bishop of the Diocese of St. Augustine, a corporation sole; AAU, River City Finish, FINISH, Inc; all organizers of this them; all volunteers, chaperones, employees, and agents of the said parties; and their personal representatives or assigns from any loss or damage on account of any injury to the person or the personal property of the child, or death, caused by negligence or otherwise, while the said child is engaged in the above-stated camp and any of the activities of the camp. The undersigned expressly agrees that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida and that if any portion of this agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. The undersigned parent, guardian, or legal representative further acknowledges that he/she is authorized to enter this agreement on behalf of the child, the child's parents, personal representatives, assigns, heirs, and next of kin. I further authorize any representative of this camp to obtain medical treatment for my child in the unlikely event of an injury or illness during this program, and I agree to pay any expenses incurred for such treatment. *

Clear

“River City FINISH & FINISH, Inc. are not affiliated or associated with Bishop Kenny High School, Inc.”

PARENT/GUARDIAN MEDICAL RELEASE

Participant's Name *

First Last

Date of Birth

MM / DD / YYYY

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Parent/Guardian Name *

Cell/Contact Phone *

### - ### - ####

Work Phone

### - ### - ####

MEDICAL MATTERS: I hereby warrant that to the best of my knowledge, my child is in good health and able to participate in activities, and I assume all responsibility for the health of my child. My child does have the following medical conditions (allergies, diabetes, asthma, drug allergies, etc.) and/or physical disabilities:

My child’s medications/dosages:

***PLEASE BE CERTAIN YOUR ATHLETE/CHILD HAS AN ADEQUATE SUPPLY OF ALL REQUIRED MEDICATIONS FOR ANY AND ALL ACTIVITIES.***

	Dosage	Doctor
Rx
Rx
Rx

PLEASE BE CERTAIN YOUR ATHLETE/CHILD HAS AN ADEQUATE SUPPLY OF ALL REQUIRED MEDICATIONS FOR ANY AND ALL ACTIVITIES.

EMERGENCY MEDICAL TREATMENT: In the event of an emergency, I hereby give permission to River City FINISH & FINISH,Inc employees, volunteers, or representatives to seek medical treatment for my child (named above). In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by River City FINISH & FINISH, Inc representatives or volunteers to secure proper treatment for my child (named above).

I make the following exception(s):

In the event of an emergency, if you are unable to reach me at the above numbers, contact:

Name and relationship

Phone

### - ### - ####

Athlete's Doctor

Phone

### - ### - ####

Health Insurance Company/ Policy Number:

Signature

Clear

OTHER MEDICAL TREATMENT: In the event it comes to the attention of River City FINISH & FINISH, Inc. volunteers or representatives during any activity that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, or diarrhea, I hereby give permission for over the counter medication to be administered to my child according to directions.

Signature

Clear

T-Shirt/Jerseys

Summer Session: May 1st - July 31st Cost $500.00 ($50 registration, $150 /mo May, June, July). Ask about Sibling Discount. (Payment Options Available)

MEDIA RELEASE FORM

Parent Permission & Release of Liability

“River City FINISH & FINISH, Inc. are not affiliated or associated with Bishop Kenny High School, Inc.”

My child’s medications/dosages:

***PLEASE BE CERTAIN YOUR ATHLETE/CHILD HAS AN ADEQUATE SUPPLY OF ALL REQUIRED MEDICATIONS FOR ANY AND ALL ACTIVITIES.***

In the event of an emergency, if you are unable to reach me at the above numbers, contact:

Summer Session: May 1st - July 31st Cost $500.00 ($50 registration, $150 /mo May, June, July). Ask about Sibling Discount.
(Payment Options Available)

PLEASE BE CERTAIN YOUR ATHLETE/CHILD HAS AN ADEQUATE SUPPLY OF ALL REQUIRED MEDICATIONS FOR ANY AND ALL ACTIVITIES.