Get football academy registration form template

Athenian Academy- REGISTRATION FORM Participant s Name Address City/St/Zip Home Phone Birth Date Email Height Weight Emergency Contact Choose Location Parent/Guardian Work Phone Cell Phone Check best to number to contact 9-5pm Flag Football West Pasco Youth T-Shirt Size Youth Small Adult Large Gender Youth Medium Male Youth Large Adult Small Adult Medium Female Are you interested in our sports leagues outside of school Soccer Baseball Other Payment 60. 00 per child paid in full-no refunds Visa MasterCard Amex Discover Money Order Certified / Personal Check Credit Card Exp* Date Security Code Cardholder s Name Print Signature All checks or money orders should be made payable to Pasco Youth Sports You can also register online at www. i9sports. com by phone 813-532-1507 or fax form to 813-354-2655 Mail to i9 Sports PO Box 545 Land O Lakes FL 34639 Liability/Medical Waiver Model Release I certify that my child ren is/are in good health and has my permission to participate in the i9 Sports program* In case of medical emergency I authorize i9 Sports personnel to seek medical emergency care for my child. I understand that participation in the program involves certain risks including but not limited to serious injury. I hereby assume all of the risks and hazards incidental to my child s participation in i9 Sports activities and I do hereby waive release and absolve i9 Sports Corporation PASCO YOUTH SPORTS owners directors playing field providers instructors assistants counselors volunteers and participants from any claim arising out of injury to my child or wrongful death arising as a result of child s participation in the i9 Sports program* I also agree to indemnify and hold harmless those listed above for all claims arising out of my child rens participation in the program and all related activities. I further understand and agree that those listed above are not responsible for any injury or property damage arising out of the program even if caused by their negligence. I also agree to let i9 Sports use participant s name and photos and likeness free of charge in any manner for any purpose without compensation to participant or me. I represent that I am a parent/legal guardian to the child ren named above and I agree that the grant and release contained therein binds me and the minor to all of the terms. 00 per child paid in full-no refunds Visa MasterCard Amex Discover Money Order Certified / Personal Check Credit Card Exp* Date Security Code Cardholder s Name Print Signature All checks or money orders should be made payable to Pasco Youth Sports You can also register online at www. i9sports. com by phone 813-532-1507 or fax form to 813-354-2655 Mail to i9 Sports PO Box 545 Land O Lakes FL 34639 Liability/Medical Waiver Model Release I certify that my child ren is/are in good health and has my permission to participate in the i9 Sports program* In case of medical emergency I authorize i9 Sports personnel to seek medical emergency care for my child. i9sports. com by phone 813-532-1507 or fax form to 813-354-2655 Mail to i9 Sports PO Box 545 Land O Lakes FL 34639 Liability/Medical Waiver Model Release I certify that my child ren is/are in good health and has my permission to participate in the i9 Sports program* In case of medical emergency I authorize i9 Sports personnel to seek medical emergency care for my child. I understand that participation in the program involves certain risks including but not limited to serious injury.