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FREE FOOTBALL CLINIC REGISTRATION
CHRISTCHURCH SCHOOL FOOTBALL PRESENTS ...
A FREE FOOTBALL CLINIC
for boys and girls in middle school
with Christchurch Head Coach
Joel Jorgensen
Saturday, June 21, 2025
9am-12:30pm
Questions? 804.542.6805
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*Camper Name, first and last
*Camper Age as of June 21, 2025
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female
male
non-binary
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*Street Address
*City
*State and Zip Code
*Parent Name, first and last
*Parent Phone Number
*Emergency Contact Number
*Parent E-mail
*Name of Camper's Current School
Does the camper have any allergies?
yes
no
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Please share any medical/health concerns
How did you hear about our Free Football Clinic
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CHRISTCHURCH SCHOOL SUMMER PROGRAMS Enrollment Contract
FREE FOOTBALL CLINIC
*Name of Camper
(the "Camper")
This Enrollment Contract for the School’s 2025 Free Football Clinic programming summer programming (Contract) is entered into between Church Schools in the Diocese of Virginia, Inc. d/b/a Christchurch School (School) and the undersigned parents/legal guardians/other financially responsible parties, jointly and severally (Parents). In consideration of the terms below, the parties agree as follows:
Camper Reservation
By entering into this Contract, Parents express the intent to enroll Camper in the School’s 2025 Free Football Clinic summer programming selected by Parents in the Registration form for the School’s Free Football Clinic (Registration Form) (collectively, Summer Program), which is incorporated into this Contract. Upon the School’s receipt of the signed Contract, and the School’s acceptance of the signed Contract, the School will assign Camper to the Summer Program.
School Authority
Parents and Camper are bound by all School rules, policies and procedures applicable to the Summer Program. The School may add to, modify, or remove its rules, policies, and procedures at any time. All decisions regarding Camper enrollment in the Program, conduct, financial account and the interpretation and enforcement of applicable School rules, policies and procedures are vested with the Head of School and/or the Head of School’s designated alternate, as well as with the Director of the School’s Summer Program and/or their designated alternate, at the Head of School’s absolute discretion. The School may discipline Camper if Camper’s conduct, or a Parent’s conduct, is deemed unsatisfactory by the School, up to and including separation of Camper from the Summer Program. Parents agree to pay for any damage to School property caused by Camper or Parents. Parents certify that they have provided the School all information about Camper relevant to Camper’s participation in the School’s Summer Program, such as information regarding mental, physical, emotional and health needs and challenges, as well as behavioral and disciplinary history. Parents agree to provide updates to relevant Camper information and to provide new information about Camper relevant to Camper’s enrollment in the School’s Summer Program as it materializes.
Force Majeure
The School will not be liable for any failure or delay in the performance of its duties or obligations under this Contract to the extent such failure or delay is caused by a force majeure or an event beyond the School’s reasonable control. Such events include but are not limited to fire, flood, earthquake, hurricane, tornado, other natural disaster, act of God, war, government action, act of terrorism, riot, epidemic, pandemic, viral outbreak, strike, labor dispute or other major upheaval which renders performance of this Contract impractical, illegal, impossible, or otherwise inadvisable. In such an event, the School’s duties and obligations under this Contract will be modified or suspended, at the School’s discretion, until such time as the School determines that it may safely and ably resume performance. The School will provide notification of such a suspension or modification by a reasonable time and method.
Cancellation
The School may cancel the Summer Program at its discretion for any reason, including for insufficient enrollment. In the event the School cancels the Summer Program, the School will notify Parents in advance.
Indemnification
Parents, for themselves and on behalf of Camper, agree to indemnify, defend and hold harmless Church Schools in the Diocese of Virginia, Inc. (Church Schools), the School, Christchurch School Foundation (Foundation) and each of Church School’s, the School’s, and the Foundation’s agents, employees, trustees, directors, officers, representatives, successors and assigns (each, an Indemnitee), from and against any and all claims, demands, causes of action, lawsuits or other proceedings brought or threatened against Church Schools, the School, the Foundation or any Indemnitee (each, a Claim), and to pay all of Church Schools’, the School’s, the Foundation’s and each Indemnitee’s costs in connection with any Claim, including but not limited to judgments, amounts paid in settlement, fines, penalties, forfeitures, liabilities, damages, costs, expenses and fees (including reasonable attorney’s fees through final appeal), of whatever kind or nature, in any manner, directly or indirectly arising out of or in connection with: (a) Parents’ breach of this Contract, (b) Camper’s enrollment in and participation in the School’s Summer Program, (c) personal injury or illness to a Parent or Camper which is not the result of gross negligence or willful misconduct by the School, (d) damage to or loss of personal property of a Parent or Camper or (e) damage to School property or equipment by Parent or Camper. The School will not be liable for any special, indirect, consequential, lost profit or punitive damage. Church Schools will have the exclusive authority to, at its discretion, appoint legal counsel and control the defense or settlement of any Claim.
Miscellaneous
This Contract constitutes the entire agreement between the parties and supersedes all prior and contemporaneous agreements between Parents and the School with respect to the School’s Summer Program. This Contract may be amended only by a written agreement signed by all parties. Throughout this Contract, unless context requires, plural words may be construed to mean the singular and vice-versa. The sections of this Contract are severable, and if any section of this Contract is for any reason held to be invalid or unenforceable, the remaining sections will not be affected thereby. This Contract will be governed by and subject to the laws of the Commonwealth of Virginia. This Contract will be subject to the exclusive jurisdiction of the courts of the County of Middlesex, Virginia or the United States District Court for the Eastern District of Virginia, Richmond Division. All parties agree to personal jurisdiction in any such venue. If the School engages legal counsel to enforce or defend any section of this Contract, and the School prevails in such enforcement or defense, Parents will pay the School’s costs, expenses and fees incurred in such action, including its reasonable attorney’s fees through final appeal.
Electronic Signature
By electronically signing this Contract, Parents acknowledge that (a) they intend to enter and are entering into this Contract with the School, (b) they have read, understand and agree to the terms of the Contract, (c) they are willingly acquiescing and intending to conduct an electronic transaction, and (d) their electronic signatures on this Contract are legally binding and are equivalent to their signatures as if handwritten.
Understood, accepted, and agreed:
*Parent Name
*Parent Signature
*Date
Parent Name
Parent Signature
Date
Authorized School Representative Name: Wesley M. Charlton
Authorized School Representative Signature
Authorized School Representative Title: Sr. Director of Strategic Advising, Business Development and Major Grants
Date
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CHRISTCHURCH SCHOOL SUMMER PROGRAMS Parent/Guardian Consent Form
FREE FOOTBALL CLINIC
*Name of Camper
(the "Camper")
This Parent/Guardian Consent Form addresses Camper’s participation in the 2025 Summer Programs at Church Schools in the Diocese of Virginia, Inc. d/b/a Christchurch School (School) (Summer Programs). The undersigned parents/legal guardians/other financially responsible parties (Parents), individually and collectively, represent that they have the authority to provide the consents below. Parents understand, acknowledge and consent to the following:
Summer Programs
The School provides opportunities for campers to engage in a wide range of programming while enrolled in the School’s Summer Program. Parents grant permission for Camper to participate in all aspects of the Summer Program and its activities (Activities). Parents understand that certain Activities may involve risk of injury or illness, and that Camper is participating in Activities knowing that the School cannot protect Camper from all associated risks, whether caused by Camper, others, or nature. Parents understand that Activities may involve travel and authorize Camper to be transported in a School-owned and operated vehicle, in a vehicle chartered by the School, in a vehicle owned or operated by a School employee or volunteer or on public transportation if any Activities are held off School property. Parents understand that Activities may be supervised by School employees, contractors, volunteers, vendors, or others. Parents understand that the School does not represent or act as an agent for, and cannot control the acts or omissions of, any volunteer, vendor, transportation carrier or other provider of food, goods or services involved in any Activities. Parents understand that the School is not responsible for matters that are beyond its reasonable control.
Medical Care
The School recognizes that Summer Programs campers sometimes require medical care while participating in Activities. This consent for medical care authorizes the School to obtain appropriate medical care on behalf of a camper who requires such medical attention. Parents authorize and appoint the School, through its designated agents and personnel, to provide and facilitate Camper’s medical care. Parents understand that this authorization includes medical care that is usual and customary for routine care, preventative care, athletic care, and emergency care, including care for injuries and illnesses and medication administration. Depending on the circumstances, the School may determine whether Camper is removed from Activities for a medical reason. Depending on the circumstances, the School may first try to contact Parents prior to facilitating medical care. In the event of a medical issue or emergency, including surgery requiring the use of an anesthetic, the School may act on behalf of Parents in granting permission for Camper’s medical care. In the absence of Parents from a medical facility offering medical care to Camper, Parents authorize the School to sign on behalf of Parents any authorization required by a medical provider or facility prior to or in the course of Camper’s care. Parents give the School, and its designated agents and personnel, permission to request, access, possess, and share medical documents and information regarding Camper, as well as to release medical information regarding Camper to any healthcare provider for medical reasons and to School employees and agents, as the School deems necessary. Parents will maintain United States-based medical insurance to cover medical costs, fees, and expenses associated with any medical care provided to Camper and will pay in full all costs, fees and expenses not covered by medical insurance relating to Camper. Parents authorize the School to communicate on behalf of Parents with healthcare providers and insurance companies regarding medical care for Camper, including associated medical costs, fees, and expenses.
Acceptance of Risk of Communicable Diseases
The School is committed to maintaining the health, safety, and security of its community members. As a result of Camper’s participation in the School’s Summer Program and its Activities, Parents understand that Camper may become infected with communicable diseases, including but not limited to COVID-19, influenza, strep throat, meningitis, tuberculosis, mononucleosis, RSV, and others. To mitigate the spread of communicable diseases and protect School community members, the School encourages all campers and parents to adhere to all applicable health and safety guidelines for the prevention and spread of communicable diseases, including those issued by the Virginia Department of Health (VDH) and Centers for Disease Control and Prevention (CDC). Parents understand that adherence to these guidelines does not eliminate Camper’s risk of infection, and that Camper is participating in the School’s Summer Program and its Activities knowing that the School cannot protect them from all associated risks, including the risk of exposure to communicable diseases. In addition, Parents understand that they – and Camper – must comply with the School’s policies and protocols relating to communicable diseases, which may be added to, modified, or removed at any time. Parents understand that the School maintains the right, at its discretion, to restrict any individual’s access to the School or the School’s Summer Program for any reason, including a communicable disease-related reason.
Acceptance of Risk of Personal Belongings Brought to School or the School's Camp Programming
The School understands that Camper and Parents may bring personal belongings with them onto School property or to the School’s Summer Program Activities held on or away from School property. Such items may include personal electronic devices, sports equipment, jewelry, clothing and accessories, wallets, and other personal belongings that may or may not be of substantial value. Parents assume the responsibility for, and understand that the School is not responsible for, any personal belonging brought onto School property or to the School’s Summer Program and its Activities, whether held on or away from School property, by themselves or by Camper.
Use of Likeness
The School may record and use Camper’s name, likeness, image, voice and work in School-related communications and materials, including in any form or media.
Contact Information
The School may distribute Parents’ name and contact information to employees and parents of campers for School summer camp programming related use. Parents will not use or distribute the name or contact information of parents of campers enrolled in the School’s Summer Program for commercial or solicitation purposes.
Understood, acknowledged, and consented to:
*Parent/Guardian Name
*Parent/Guardian Signature
*Date
Parent/Guardian Name
Parent/Guardian Signature
Date
Click Here to Read Summer Programs 2025 Policies, Rules & Community Standards - Acknowledge in the Form Below
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Please read the Summer Programs Policy Manual Linked to the Left
Read and Understood, by:
*Parent/Guardian Name
*Parent/Guardian Signature
*Date
Christchurch School
49 Seahorse Lane,
Christchurch, Virginia 23031
804.758.2306
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At A Glance
Head of School
Quick Facts
Faculty and Staff
Location | Directions
Contact Us
Mission | History
Episcopal
Employment
Design and Technology Teacher
Math Teacher
Math Department Chair
Humanities Teacher
Basketball Coach and Teacher
VARSITY SOCCER COACH & MATH OR DESIGN/TECH TEACHER
Head Volleyball Coach, Marketing/Communications
Head Soccer Coach, Marketing/Communications
Governance
Digital Yearbook Library
Privacy Policy
Admission
Visit
Apply Now
Tuition and Fees
Tuition Assistance
The Application Process
Children of Families Living Abroad
International Students
FAQs - International
Academics
Great Journeys
Curriculum
College Counseling
Learning Skills Program
Honors Courses & Dual Enrollment
Makerspace
Global Ed
Beyond the Classroom
Independent Projects
Grade Level Trips
The Arts
Performing Arts
Music
Visual Arts
Athletics and More
Softball
Volleyball
Baseball
Lacrosse
Soccer
Golf
Basketball
Swimming
Football
Strength & Fitness
Tennis
River & Outdoor
Equestrian
Sailing
National Sailing Champions
Sailing Venue and Fleet
Sailing Resources
Boarding | Day
Health and Wellness
Mental Health and Performance
Advisory
Cameron Dining Hall
Boarding School
Private Day Boarding School
Student Leadership