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2025 TLA Summer Camp Registration & Waiver

đź“ť 2025 TLA Summer Camp Registration & Waiver
For participants aged 7–15
Hosted at Hesman Athletics and Performance
June 30 – August 29, 2025 | 1555 Talbot Rd Units 402-406, LaSalle, ON

Please fill out this form for each participating child.
You'll have the option to register multiple children, choose your payment method, and digitally sign the waiver at the end.

Child Information

Full Name

Date of Birth

Would you like to register another child?

Would you like to register another child?
A
B

Parent/Guardian Info Section

Parent/Guardian Name

Email

Primary Phone Number

Home Address

Postal Code

Emergency Info Section

Emergency Contact Name

Emergency Contact Phone Number

Please list any additional people (besides yourself) who are allowed to pick up your child. Only people listed here will be allowed to do so. If you need to make a same-day change, call (226) 961-2704.

Full Name

Phone Number

Full Name

Phone Number

Medical History Information

Does your child have any allergies, medical conditions, or special needs?

Does your child have any allergies, medical conditions, or special needs?
A
B

Has your child participated in a HAP program before?

Has your child participated in a HAP program before?
A
B

Photo/Video Consent

I give permission for Hesman Athletics & Performance to use photos or videos of my child from the TLA Summer Camp for promotional purposes.

Do you give permission for photo/video use?

Do you give permission for photo/video use?
A
B

Scheduling

Which camp session would you like to reserve?

Which camp session would you like to reserve?
A
B
C
D
E
F

If "Drop-In" was selected, please specify what dates they will be attending

If registering for the week of camp, please select which week(s) you would you like to register for?

If registering for the week of camp, please select which week(s) you would you like to register for?

🛡️ Waiver, Safety, Conduct & Risk Acknowledgment

This waiver outlines the responsibilities, risks, and expectations associated with participation in the Train Like an Athlete Summer Camp, operated by Hesman Athletics & Performance (HAP).

Our Commitment:

Certified First Aid/CPR staff are present during all camp hours.

Equipment and facilities are maintained to high safety and cleanliness standards.

Staff are trained to respond to emergencies, including illness, injury, or evacuation.

Participant Responsibilities:

By participating in this program, children are expected to:

-Complete a daily self-check and stay home if unwell.
-Use equipment only under staff supervision.
-Follow coach/staff instructions at all times.
-Treat others with respect and kindness.
-Report hazards or injuries immediately.

Misuse of equipment, unsafe conduct, or repeated behavioral issues may result in dismissal from camp without refund.

⚠️ Assumption of Risk & Liability Release:

By enrolling your child in this camp, you acknowledge and accept the of physical activity, including but not limited to: injury, illness, or accident.

You agree to Hesman Athletics & Performance, its staff, volunteers, and affiliates from any liability or claims arising from your child’s participation.

In case of illness or injury, emergency medical care may be administered. You are responsible for any associated medical costs.

Photo Use:

Photos or videos of participants may be used for promotional purposes only if consent is provided above.

Emergency Protocol:

In case of emergency, HAP staff will contact the listed guardian or emergency contact immediately.
Certified staff may administer First Aid and/or call emergency services as needed.

Code of Conduct:

Campers must:
-Use respectful language and behavior
-Avoid bullying, discrimination, or foul language
-Treat equipment and facilities with care
-Store belongings responsibly (HAP is not liable for lost/stolen items)

🖊️ Final Agreement:

By signing your name and submitting this form, you confirm that:

-You have read and understand this waiver
-You voluntarily consent to your child’s participation
-You accept all risks outlined above
-You release Hesman Athletics & Performance from any related liability

Full Name

Sign Here..

How Would You Like to Pay?

How Would You Like To Pay?
A
B