Sport Camp Registration

The FREE Heart for Monroe Sports Camp presented by Carolinas HealthCare System takes place in Monroe, North Carolina on July 17-19, 2017. Camp begins at 8:30am and concludes at 12:00pm. All activities will be on the grounds of Monroe Middle School located on Sunset Drive.

Parents – Please complete the form below.  You must be a parent or legal guardian to complete this form for a child.

  • Emergency Contact

  • Additional Information

    I give my permission for my child's picture to be used in print, video, and on the web.
    Will your child be staying for the Union County Public Schools provided lunch beginning at 12pm each day? If so, you agree to assume all responsibility at that time.
  • Liability Waiver

  • Waiver text By reading and signing below to this waiver, I consent to the following: THIS ENTRY CONTAINS A LIMITATION ON YOUR LEGAL RIGHTS- READ IT In consideration of your accepting this entry, hereby for myself, my heirs, executors and administrators, waive, release and discharge Heart for Monroe, Union County Public Schools, Carolinas HealthCare System, and Monroe Middle School any official sponsor entity, and the officers, directors, shareholders and/or members, agents and employees of each, all personnel assisting with the event, volunteers or any other persons connected with this event, their representatives, successors and assigns, from any and all rights, claims or liability for damage for any and all injuries to me or my property, or damage caused by me or by anyone else (including Acts of God), arising out of or in connection with my participation in this event. I further agree that I will defend, indemnify and hold harmless, any official sponsors, and the directors, officers, members and agents of each, against all claims, demands, and causes of action, including court costs and attorneys' fees directly or indirectly arising from any action or other proceeding brought by or prosecuted for my benefit contrary to this agreement. This release extends to all claims of every kind and nature whatsoever, whether known or unknown. I grant my irrevocable permission to Heart for Monroe and its authorized agents, to use my name and any photographs, videos, motion pictures, recordings, or any other record of my participation in this event.
    I have read and agree to the conditions of this waiver as a participant over 18 years of age or a parent/legal guardian of a minor under 18 years of age or a legal guardian of a person with intellectual or developmental disabilities.