2024 Summer Camps All Camps at BSI-Wellesley. Monday-Thursday 9am-2pm. Boys and Girls. Grades 3-8. 2024 Summer Camps Select Session* 7/8-7/11. 9am-2pm 7/15-7/18. 9am-2pm 7/29-8/1. 9am-2pm 8/5-8/8. 9am-2pm 8/12-8/15. 9am-2pm 8/19-8/22. 9am-2pm 8/26-8/29. 9am-2pm Player Name* First Last Player Birth Date* MM slash DD slash YYYY Gender* Boys Girls Player Grade* 1st grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Player Cell Phone*Home Phone*Player Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Player Email* Parent Name* First Last Parent Cell Phone*Parent Email 1* Parent other email Discount Code Discount AppliedMAGIC50Total $0.00 WaiversBy agreeing below, I acknowledge that I have read and understand this form and further understand the terms herein are contractual and not a mere recital.Acknowledgement*In consideration of participating in this tryout, practice, game, skill session, clinic, tournament and or league the player named above and the parent or guardian do hereby agree for ourselves, our heirs, executors and administrators, to release, hold harmless and forever discharge the hosting organization and their officers, staff, administrators, volunteers, sponsors and representatives and assigns, for and against any and all claims, actions, cause of actions, suits, judgments, and demands whatsoever directly or indirectly in connection the player’s participation in the event. I agree Medical Waiver*I/we being the legal guardians of the applicant authorize the staff of this clinic and its agents permission to request treatment to ensure the well being of our dependant. I certify that he is in good health and able to participate in the scheduled games. I agree COVID-19 Waiver Release of Liability*Waiver, Consent, Release of Liability COVID-19. The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. Middlesex Magic has put in place preventative measures to reduce the spread of COVID-19; however, Middlesex Magic cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending Middlesex Magic programs or events could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Middlesex Magic programs or events and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Middlesex Magic programs or events may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Middlesex Magic employees, volunteers, and program participants and their families. Further, I attest that my child(ren) are healthy now and will be monitored by me, a parent, or a guardian before attending all Middlesex Magic programs or events each day and I will hold him out if any such symptoms arise. A health monitorization or check ensures and confirms that your child(ren) has not had these symptoms for 48 hour prior to each Middlesex Magic program or event; fever, abnormal cough of any kind, shortness of breath, body aches, sore throat, or loss of taste and smell. I attest that my child(ren) has not knowingly been in close contact with anyone who is known to have or be symptomatic of the Covid-19 virus and has not traveled outside the US or been in contact with anyone who has traveled outside the US in the last 14 days I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at any Middlesex Magic program or events that Middlesex Magic or participation Middlesex Magic programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Middlesex Magic, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Middlesex Magic, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Middlesex Magic program. I HAVE READ THIS WAIVER AND RELEASE. I UNDERSTAND IT AND I AM SIGNING IT VOLUNTARILY. I certify that as parent/guardian of the athlete, I consent to his/her agreement to be bound by each of the terms and conditions in this waiver and release. I agree to the policy.ImmunizationsPlease upload a document to show your current immunizations.Max. file size: 300 MB.Latest PhysicalPlease upload a document to show your latest physical.Max. file size: 300 MB.