Please Select Age and Level of Athlete
Charge to DCC Membership:
In case of medical emergency contact:
I understand that I will be notified in the case of a medical emergency involving my child. In the event that, I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill.
I understand that the DuPont Country Club will not be responsible for the medical expenses incurred, but that such expenses will be my responsibility as parent/guardian.
I hereby give permission for my child to be photographed during the DuPont Country Club Sports Camp. I understand the photos will be used to keep a journal of activities, to share during power point presentations and/or reports to our donors and for promotional purposes including flyers, brochures, newspaper and on the internet. I understand that although my child’s photograph may be used for advertising, his or her identity will not be disclosed, I do not expect compensation and that all photos are the property of DuPont Country Club Spots Camp and its affiliates.
The DuPont Country Club and its co-organizers are not responsible for lost or damaged personal property. All scheduled events are subject to change. I understand that no fees will be refunded or transferred unless a child is unable to participate due to an accident or illness per physician orders. Children's’ photos and quotes may be used for publicity purposes. In case of an emergency, and if a family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, and/or Physician).
1001 Rockland Road, Wilmington, DE 19803T. (302) 654-4435 |
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