Registration and consent from

Consent & Liability Waiver
I First Name Last Name hereby affirm that I am voluntarily starting a course of instruction in physical fitness and performance training (The Activity). I am voluntarily participating in the Activity entirely at my own risk.
In full consideration of the risk of injury while participating in the Activity, and for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily participate in this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any kind of risks related to traveling to and from as well as participating the Activity, which may include, but are not limited to, physical or phycological injury, pain, suffering, illness disfigurement, temporary or permanent disability, economic or emotional loss, and death.
I acknowledge that I have carefully read this form and fully understand that it is a release of liability. I expressly agree to release and discharge the trainer or instructor from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action for personal injury or property damage.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Participant Signature
Guardian Name (if participant is under 18)

First NameLast Name
Guardian Signature (if participant is under 18)

Summer Development Registration
Name

First NameLast Name
Age

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact

First NameLast Name
Emergency Contact
Please enter a valid phone number.Format: (000) 000-0000.

Medical Infomation

Medical history and information ensures safety and efficacy of training programming. Should your medical situation change after filling out this form please bring this to our attention.
Current and previous medical history
Chronic or acute conditions, diseases, disabilities, disorders, injuries; and anything else we should know
Current medications
tobacco, alcohol, prescriptions, supplements, etc.
History of concussions?
Ongoing or Frequent injuries?
Current or nagging injuries.
Private Groups & Teams

Space is available for up to 6 people.

Team Rate: $160/hr (up to 6 people)

Scheduling and payment to be organized through delegated team representative or group organizer.
Program Options
prevnext( X )
Private 1 on1
60min private session

$85.00 CAD QuantityPackage Options
Item subtotal:$0.00 CAD



Private Group / Team Attendee
Choose only if you are already a part of a group and fee has been paid to the group organizer.

Free Quantity



Private Group / Team (max. 6)
Choose only if you are the Group/ Team coordinator. Organize payment through Attendees

$160.00 CAD QuantityProduct Options



Semi Private
Private group of 2 people

$60.00 CAD QuantityPackage Options



Total

$0.00 CAD
Private Group Attendance List:
Please supply the (up to) 6 attendees enrolling under your groups name.

Further Information

Fine print and other FAQ
What is involved in the Fitness Assessment?
- biomechanical assessment
- strength evaluation
- mobility evaluation
- cariovascular capacities evaluation
- goal setting
- athletic personality evaluation
- Dietary/ supplementation evaluation
- Season goal planning
What is included in the 8 and 12 session option?
- 1 hour long sessions
- Focus on Strength, Explosiveness and Speed.
- Sub focus on Injury prevention and Mobility
Subsidization is available for athletes from low income families.

It is our mission to make elite training accessable to athletes regardless of parental incomes. Athletes should not have to miss out on making it to the next level because of costs associated with sports. If you feel you may qualify, please contact us to discuss this.

Tuition is non refundable; 100% attendance is expected.

-if there are vacation plans or conflicting schedules; bring this up to Eric at time of booking so alternative dates can be organized.

Tuition can be paid via etransfer to: demont.athletics@gmail.com

Tuition is to be paid in full at time of registration -or- prior to commencement of sessions.*

A confirmation email will be sent once both form and payment is recieved to begin booking dates. Please note: Eric will be away from June 15-June 24th. Sessions will resume on June 26th.
Should be Empty:

Consent & Liability Waiver

Summer Development Registration

Medical Infomation

Private Groups & Teams

Program Options

Further Information

What is included in the 8 and 12 session option?

Subsidization is available for athletes from low income families.