11U IA

Ignite Academy

11U Spring-Summer Development Team
Athlete Information
Player Name*

First NameLast Name
School*
Grade*
Guardian / Parents Names*

First NameLast Name
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shirt Size*
Short Size*
Jersey Size*
E-mail*
example@example.com
Release of Liability

Although the safety of all sport activities is the primary concern, indoor sport activities at Sport Center's facilities may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the Sport Center and the persons in charge.
I have read and agree to the above conditions*

YesNo
Confirmation E-mail*
example@example.com
Signature*

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Player Fee: $1,200 March 8th via Venmo at @Jaylen-Rutherford-1

Gear Package: $200 (must be ordered online through our team store by March 8th)

Please ensure all payments are submitted on time. Let us know if you have any questions!

https://venmo.com/u/Jaylen-Rutherford-1
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Ignite Academy