Fall #2 Sports Performance Registration

1
Athlete Name* This field is required.
First Name
Last Name
2
Parent Name & Phone Number* This field is required.
First & Last Name
Phone Number
3
Parent Email* This field is required.
example@example.com
4
Please Choose a Membership Option* This field is required.
Please Select
Please Select
Elite (16 workouts) = $510
Elite Plus (24 workouts) = $690
Elite Pro (32 workouts)- $800
5
Choose Speed & Agility Add-on (25% off)Only select if you would like to participate in our speed & agility program. If not, please skip
Please Select
Please Select
8 workouts= $153.75
16 workouts= $307.50
6
Please Choose Payment Option* This field is required.*choose both payment occurrence & payment type. Payments will be processed 10/20 & 11/17
7
*NEW* Bank Information*only will be used if ACH is chosen payment type. If you are a returning athlete and have given already, please disregard!
Bank Name
Account Number
Routing Number
Name on Account
Phone Number
8
Terms and Conditions* This field is required.It is understood that I (signature below) have agreed to pay ‘Marsh Elite Performance Inc.’ the total contractual amount of the program that I have selected above. I also understand that I have the right to pay the full amount upfront to ‘Marsh Elite Performance Inc.’ via ACH, cash, or credit card. All cash payments must be turned in the first day of training in order for you or your athlete(s) to participate in the training sessions. After program selection, payment collection, and completion of the first training session, there will be no refunds. Furthermore, I understand that at no time can this contract be placed on hold/decline/amended after the first training session has occurred (unless discussed under the discretion of the strength and conditioning staff).
9
Liability Form* This field is required.I (signature below) am giving full permission for my child or I to participate in the programs selected on the previous page. I fully understand that should any major medical issue or accident occur during training or workout that the strength & conditioning staff will notify me via cellphone. In addition to this liability, I am giving the strength & conditioning staff release of all claims on account of any injuries which may accidentally occur during training. I am fully aware of the risks involved with resistance training & conditioning, plus the use of the gym and/or their equipment. I aware and acknowledge such risk on behalf of me or my child while undergoing training or workouts. I also agree to indemnify ‘Marsh Elite Performance, Inc.’ and its strength & conditioning staff of any claims, from here on may be presented to my child as a result of any injury. I also am granting the strength & conditioning staff the use of photography and videography of me or my child for marketing/advertising/other commercial uses, while also utilizing it as a valuable coaching tool. This in entirety admits all qualified applicable participants without regard to sexual orientation, race, disability, or religion. I am fully aware of all that is stated above and will certify my understanding by authorizing with my signature below:
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