New Customer Registration Form

Journeyman Fall Classic Prep Camp

Clinicians Yianni & Vito - September 27th
Customer Details:
Athlete Name*

First NameLast Name
Guardian Name*

First NameLast Name
Parent Cell*
Athlete Cell*
Athlete DOB*

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Date
Athlete Projected HS Graduation Class*
Who referred you?*
Athlete Gender*

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Athlete Approx Weight
I have read and understand the waiver and rules*

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There are no refunds at all for any reason for this camp*

I understand, and will not initiate a chargeback via my bank or CC Company
Covid, and all infectious disease are risk we are willing to take. We agree to never sue Frog Empire, its owner Julian Ramirez, his heirs, nor any of his staff or volunteers*

I understand, and will never sue Julian Ramirez, or Frog Empire
The Guardian/ Parent or attendee if they are above 18 waive all rights to pursue any claim(s) against Frog Empire. The Guardian/ Parent or attendee if they are above 18 further agrees they shall defend, indemnify, and hold harmless Julian Ramirez, Frog Empire Wrestling, its officers, officials, employees and volunteers from and against any and all claims, suits, actions, including attorney fees, or liabilities for illness, injury or death of any person, or for loss or damage to property, which arises out of attendee's use or participation in or about or in any event of Premises, or from the conduct of attendee's actions, or from any activity, work or thing done, permitted, or suffered by attendee's in or about the Premises, except only such injury or damage as shall have been occasioned by the sole negligence of the Frog Empire LLC.*

I understand, and will never sue Julian Ramirez, or Frog Empire

Frog Empire - Events & Clinics*

Journeyman Fall Classic Prep CampClinicians Yianni & Vito

$120.00 Quantity

Total

$0.00

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