Name *

First Name

Last Name

Parents *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

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Waiver Agreement *

Registration Agreement In enrolling at Shamrock SA, participant understands that he/she attending the programs and using any facilities associated with Shamrock SA does so at his/her own risk. Shamrock SA and its owners, employees or agents, shall not be liable for any damage whatsoever arising from any personal injury or property loss sustained by participant with his/her family in or about any programs on the premises. Participants and parents assume full responsibility for all injuries and damages which occur in or about any programs on the premises, He/She does hereby fully and forever release discharged hold harmless Shamrock SA, all associated facilities and its owner, employees, and agents from any and all claims, demands, damages or rights of action, present or future resulting from any person’s participation in any programs or use of the facility. In addition, he/she agree(s) to follow the rules of conduct and play set by Shamrock SA. Failure to do so may result in suspension from participation. Consent: I the undersigned parent or guardian/participant do hereby grant authority to the staff at Shamrock SA to render a judgement concerning medical assistance or hospital care in the event of an accident or illness during my absence. I do hereby authorize Shamrock SA and its assigns to utilize any and all photographs, pictures or other likeness of me or anyone assigned guardianship to me, as they deem appropriate in its promotional materials or team films.

I agree to the waiver terms and conditions