Docstoc

Football Combine Speed Clinic

Document Sample
Football Combine Speed Clinic Powered By Docstoc
					                                          REGISTRATION
ATHLETE INFORMATION
Name of Athlete                                                 Age                  Gender

Parent/Guardian

Address
                                                                What chapters, leagues & teams are you currently
                                                                registered with?




City                        State               Zip             Evening Phone

                                                                Day Phone

Email




                  Football Combine & Speed Clinic
                                     Saturdays 9 - 11:00 a.m.

                                               March 1, 8, 22, 29
                                                 April: 12, 19, 26
                                             May: 3, 10, 17, 24, 31


                                          Camp fee - $40 day

PAYMENT INFORMATION
          Check Enclosed (Payable to Atomix Sports)

Credit Card       Visa       Mastercard          AMEX         Discovery

Credit Card #                                                   Exp date                        Security Code

Name on Card                                                    Billing Zip Code


Signature (Authorization)




                                    IMPORTANT INFO ON REVERSE - SIGNATURE REQUIRED
                                   IMPORTANT LEGAL INFORMATION
Important Please Read
Any person(s) participating in an athletic training program, and/or related activities, involves dangerous conditions and risks of bodily injury or even death. Individual(s)
agree not to sue or bring any legal action against Atomix Sports, Las Virgenes Schools & City of Agoura Hills, JMP, Agoura Fitness and their affiliated companies,
employees, instructors or their successors and assigns for all loss, damage or injury (including death) that I (or my family or heirs) may experience in connection with my
activities or attendance at the Atomix Sports, JMP, Agoura Fitness, Las Virgenes Schools & City of Agoura Hills facilities(s), even if caused by a third party, other
persons, or Atomix Sports,JMP, Agoura Fitness, Las Virgenes Schools & City of Agoura Hills Person(s) assume full responsibility for these conditions and assume the
risks no matter how the conditions and risks arise, including the acts or omissions and/or negligence of outside third parties, other persons, or Atomix Sports, JMP,
Agoura Fitness, Las Virgenes Schools & City of Agoura Hills and its affiliated companies, employees or instructors. I waive notice from Atomix Sports, JMP, Agoura
Fitness, Las Virgenes Schools & City of Agoura Hills that specifically outlines these dangerous conditions and risks. I agree to be personally responsible for, and hold
Atomix Sports,JMP, Agoura Fitness, Las Virgenes Schools & City of Agoura Hills harmless from, all costs (including amounts recovered from Atomix Sports, JMP,
Agoura Fitness, Las Virgenes Schools & City of Agoura Hills) related to any legal action brought against Atomix Sports, JMP, Agoura Fitness, Las Virgenes Schools &
City of Agoura Hills, its employees, instructors, staff or their successors and assigns for loss, damage or injury (including death) to any person, entity or property caused
by me, in any way, while at Atomix Sports, JMP, Agoura Fitness, Las Virgenes Schools & City of Agoura Hills. By initializing I have read and agreed to the above terms.

Refund, Cancellation & Privacy Policy
There are absolutely no refunds for camp or class once you are accepted into the camp.
If there is a camp or class cancellation you will receive a full refund.

We reserve the right to change dates and times for the camp. If you cannot make those dates and times if they are changed then you can get 50% of your money back.
Due to the exclusivity of our camp and the fact that we have many applicants looking to get in the camp or class, you will not get your full amount back. If we are able to
get someone into the camp in your place then you will get a full refund. If we do not get someone to take your place then you will be compensated 50% of the camp
price back only.

If you child has a sickness or an injury and cannot attend, you will have to furnish us with a note from your doctor and you will only be charged 50% of the camp or class
fee and the rest will be refunded to you. If your child has a sickness or an injury once the camp or class has begun, then you will not be entitled to a refund. If you do
not want the 50% refund you may take a credit towards one future camp in the full amount.

If there is a day cancelled due to unforeseen circumstances we will make every attempt to make up that session. If you are not able to make the makeup session then
that is your fault, we cannot schedule make-up sessions to accommodate every person’s schedule. We will make every attempt to schedule it on a day that everyone
can make the training.

There are no refunds if your athlete misses a session. You are welcome to make up sessions for the ones you missed. This may entail doubling up a day or it may entai
joining a different session, this is definitely welcomed and encouraged if you miss a session.

Atomix reserves the right to videotape sessions, and take pictures for promotional and training purposes at the speed/strength camps. These promotional items may
include flyers, website, testimonials, athlete of the camp awards, and pictures and video clips for atomix sports performance. I hereby acknowledge and provide my
permission for my athlete and child to be in Atomix Speed & Strength Videos for training, promotional, and sales distribution. I acknowledge that I will not be paid for my
participation in the training video. I give permission to Atomix to utilize my child’s in the video for the purposes of instruction, promotion, testimonials and training
distribution and sale of the instruction, promotion, and training. I will receive no royalties or additional payments for my voluntary participation.

 Inappropriate Behavior & Interaction:
All participants who act inappropriately will be dismissed from the program without compensation. We are not a child sitting service and expect all campers to respect all
staff & participants. No interaction is permitted with the campers once class has begun.

Injury, Illness, Disease, health or medical conditions:
Camp is for healthy individuals only. We do not have medical staff on site at our camps.




Date
Print Name                                                                Signature