2020 Duneland Summer League Team Registration

Beat The Odds (C4) Academy

Player Registration
Player Information

First NameLast Name
School Team
High School/Middle School
Cell Phone Number

Area CodePhone Number
Email
example@example.com
Does your child play AAU?
Will your child miss any skill dates? If so, please list!
I agree to pay the fees at the drop off on the first day of camp. Fees are $125 for the month of November and $225 for December 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.
For any questions or concerns contact Coach Ford

Cell: 347-200-4390

E-Mail: cford3073@gmail.com

Instagram: beattheodds_academy
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Beat The Odds (C4) Academy