Jazleticz Sportz

WE ARE “ATHLETES ANCHORED IN CHRIST.”

We learn to compete with consistent confidence in every competition— for the glory of God, not ourselves. Get ahead or get left behind. We believe in training our bodies and our mind. When we step into competition, we let our light shine. Not because of luck, but because of our Grace, Grit & Grind. We are Leaders, Lights & Legends. Our growth is always on an incline!
Athlete Name:*

First NameLast Name
Grade
Athlete’s Favorite giftcard ?
(ONLY FOR PRIVATE SESSION CLIENTS) Please answer the folllowing in numerical order in the space below :
1. Events/Sports:
2. Height:
3. Weight:
4. Years of experience in sport:
5. Mental performance rating scale: (1-10)
6. Self-motivation rating scale : (on a scale 1-10, how motivated is your athlete to do EXTRA at home or on their own. In Jazleticz Academy, we believe that elite athletes do “extra”. Average athletes do “just enough”.)
7. Physical Improvements needed:
8. Mental improvements needed:
9. Sports Parent advice needed:
Please answer the above questionnaire in this box below in numerical order. Example: (1. Track/Hurdles. 2. 5’7. 3. 135. 4. 6 years.).
Birth Date:*

MonthDayYear
Please provide any medical restrictions they have:
How did you hear about Jazleticz?:*

Informed Consent and AcknowledgementI hereby give my approval for my/my child’s participation in Jazleticz, LLC Sportz. I assume all risk of injuries and hold harmless Jazleticz, LLC and all its respective representatives, including, but not limited to Jazleticz LLC from any and all liability for injuries.In case of injury to player, I hereby waive all claims against Jazleticz, LLC including all coaches and affiliates, all participants, sponsoring agencies, advertisers. Furthermore, all images and videos of Jazleticz, LLC events are the property of Jazleticz LLC and can be used for any promotional consideration. I hereby state that I have carefully read the above waiver. Acceptance and understanding of this agreement are hereby acknowledged. I have read and agree to the Informed Consent and Acknowledgement. PLEASE READ & COMPLETE THIS FORM BY SIGNING THESE AGREEMENTS AFTER YOU SUBMIT THIS REGISTRATION.

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Make a payment here. If you are coming to more than one session, I’ll send an invoice to you again, directly.

Little Letes Jazleticz Vb Camp$75.00

Private training VB$75.00

Private BB training $75.00

Total $0.00

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WE ARE “ATHLETES ANCHORED IN CHRIST.”