Whitman Hanson Soccer
Home of the Panthers!
www.whathletics.com

A Summer of Fun for our Future Panthers
The school nurse may not be present during before, after school, or extra curricular programs

Camper Information

Parent/Guardian Information

An email confirmation will be sent upon receipt of your registration form.

My child has the following medical condition that may require immediate attention (911) at school sponsored or activities practices/events that occur outside of the regular day: *
 

I give permission for my son/daughter to participate in the WH Soccer Camp.  I agree to hold Whitman-Hanson, David Floeck, all coaches, camp counselors, officials, trainers and agents free from any liability whatsoever in the event of any type of injury or contraction of Covid 19; I also certify that my son/daughter has been through a physical examination within the last 13 months and that he/she is healthy and able to participate in the camp. I also give my permission for the program to seek medical attention for my son/daughter in the event of an injury,  but again will not hold the camp, its coaches, Whitman-Hanson Regional School District or its agents liable for said medical care or lack there of. 
I am aware that attending this program could put family members at risk in terms of the transmission of Covid 19.  I affirm that I understand these risks and will not hold Whitman-Hanson Regional School District, its employees, its agents or any other party liable for any issues that may arise as a result of attending this program. The school nurse may not be present during before, after school, or extra curricular programs
Please mail a signed copy of this form with a copy of a recent Physical Exam with your payment.

Payment Information

Send checks to ("Panther Soccer Camp" Whitman-Hanson Regional High School, 600 Franklin Street, Whitman, MA 02382;  Please send full payment of $225 with your registration for each week of camp. Please make checks payable to Panther Soccer Camp.