Beat The Odds (C4) Academy🏀
Please fill out all sections, don't hesitate to reach out if you have any questions or concerns!
Email
example@example.com
Does your child play AAU?
Yes
No
Will your child miss any skills dates ?
August dates are as follow:
(Saturday) 5th from 10am to 11am
(Thursday) 10th from 1130am to 1230am
(Friday) 11th from 1130am to 1230am
(Monday) 14th from 1130am to 1230am
(Thursday) 17th from 1130am to 1230am
(Saturday) 19th from 1030am to 1130am
(Sunday) 20th from 9am to 10am
September dates are as follow:
(Monday) 4th from 7pm to 815pm
(Tuesday) 5th 7pm to 815pm
(Thursday) 6th 7pm to 815pm
(Tuesday) 12th 7pm to 815pm
(Wednesday) 13th 7pm to 815pm
(Thursday) 14th 7pm to 815pm
(Tuesday) 19th 7pm to 815pm
(Monday) 25th 7pm to 815pm
(Tuesday) 26th 7pm to 815pm
What grade is your child in
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
I agree to pay the fees at the drop off on the first day of camp. Fees are $175 for the month of August and $225 for September sessions. I understand that if my child misses a camp, we will not be refunded. Please sign parent/guardians name below. Sign below!
Release of Liability and Assumption of Risk AgreementIn consideration of my minor child/ward (“my child”) being allowed to participate in this sport camp program, its related events and activities, I, the undersigned, acknowledge, appreciate, and agree that:1. The risk of serious injury from the sports activities involved in this program is always present due to the nature of the sport(s); 2. FOR MYSELF, SPOUSE, AND MY CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my child’s participation; 3. I willingly agree to comply with the program’s stated and customary terms and conditions for my child’s participation; 4. If, however, I observe any unusual significant concern in my child’s readiness for participation and/or in the program itself, I will remove my child from participation and bring such to the attention of the nearest official immediately; and 5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS the Camp, Chris Ford, Next Level Performance Academy a limited liability company formed under the laws of the State of Iowa, other participants WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY, regarding my child and/or arising from his/her activities or ARISING FROM NEGLIGENCE OF THE RELEASEES TO THE FULLEST EXTENT OF THE LAW. 6. By signing below, I agree to hold harmless and indemnify the Camp, Chris Ford, Next Level Performance Academy, LLC a limited liability company formed under the laws of the State of Iowa, other participants from any and all liability, loss, damages, costs, refunds or expenses which are sustained, incurred or required out of the actions of my dependent in the course of the camp. I RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND THEIR TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. Sign Below!
I agree to the Release of Liability and Assumption of Risk Agreement. By typing your name it states you agree to the above.
More Questions ?
More questions?... No problem! Email or Text Coach Chris. Email: cford3073@gmail.com Cell:347-200-4390
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