FBL Girls Program Registration Form
Participant Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Current School
Which day/days will you be attending
Monday (4:00PM - 5:00PM)
Saturday (9:00AM - 10:30AM)
Saturday (4:00PM- 5:30PM)
Does your child have any medical conditions we need to be aware of ?
Yes
No
If yes, please provide details e.g. asthma, allergies, injuries etc.
Parent / Guardian Full Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Disclaimer
To the best of my knowledge, my child is in good physical condition and fully able to participate in the academy's sessions. I am fully aware of the risks and hazards connected with the participation of my child, and herby elect for my child to voluntarily participate in the academy's training sessions. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OR LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, that may be sustained by me/my child, or loss or damage to property owned by me/my child, as a result of my child's participation. I hereby release the coaching academy, its coaches and employees from any claims of injury that may be sustained while participating in the program.
Consent
I am the parent/guardian of the player and I am happy with the above disclaimer and consent to them participating in the academy's sessions
Submit
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