New Member Special
Texas Elite Allstars
Athlete Name
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First Name
Last Name
Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Childs Age
*
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about Texas Elite Allstars?
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Friend/Referral
Word of Mouth
Facebook
Google
I agree with the following statements:
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By registering with the Texas Elite Allstars, I agree to participate in the Texas Elite Allstars, and hereby release Texas Elite Allstars, its directors, officers, agents, coaches, and employees from liability for any injury that might occur to myself (or to my child(ren) and family members) while participating in the Texas Elite Allstars program, including travel to and from training sessions, or other scheduled team activities. I agree to indemnify and hold harmless the above mentioned organizations and/or individuals, their agents and/or employees, against any and all liability for personal injury, including injuries resulting in death to me, my child(ren) and/or other family members, or damage to my property, the property to my child(ren) and/or other family members, or both, while I (or my child(ren) or family members) participating in the Texas Elite Allstars program and other classes. I certify that I am the parent or legal guardian for my child(ren). I hereby give my permission for any supervisor, coach or other team administrator associated with the Texas Elite Allstars to seek and give appropriate medical attention for our child(ren) in the event of an accident, injury, illness. I will be responsible for any and all costs associated with any necessary medical attention and/or treatment. I hereby waive, release and forever discharge Texas Elite Allstars from all rights and claims for damages, injury, loss to person or property which may be sustained or occur during participation in Texas Elite Allstars activities, whether or not damages or loss is due to negligence. I hereby acknowledge that my children is (are) physically fit and capable of participation in all activities. PHOTO RELEASE: I hereby grant and authorize Texas Elite Allstars the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of me/my athlete to be used in and/or for any lawful promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, press kits and submissions to journalists, websites, social networking sites and other print and digital communications, without payment or any other consideration.
Terms:
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At the end of your New Member Special, you will be transitioned to a full member and receive all member benefits. Regular tuition will begin at that time. Recreational classes are $69/month.
Date
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-
Month
-
Day
Year
Date
Signature
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Schedule an appointment for your tour, evaluation, and to enroll!
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3 weeks for $39
1 class a week for 3 weeks
$
39.00
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