Clone of 1 Stop Elite 7v7 New Port Richey & WestlyChapel Registration Form 2025

Player First Name*

Player Last Name*

Player Birth Date*

MonthDayYear

Player Age *

High School Team or Team Played For In The Fall*

Player Positions*

Choose One Team Interest ?

12u 1 Stop Elite14u 1 Stop Elite15u 1 Stop Elite18u 1 Stop Elite

Uniform Size?*

Track Suit?*

Sports Playing In The Spring *

JERSEY NUMBERS(Choose 2 #'s)*

Parent Contact Name*

Parent Contact Phone*

Player Contact Phone(15u &18u)

Parent Contact E-mail*

example@example.com

Address: Street*

City, Zip Code*

1 Stop Elite 7v7 Payment ( Fee $350) which Includes 2 Uniforms, Track Suit, Backpack & Pay's for first 2 tournaments. ( Once Selected to a team)*

Cash app ( $Stubbo1)Zelle ( 205-447-2036) Cortez StubbsVenmo( 205-4472036) Cortez stubbsCash

Comments / Questions:

1 Stop Elite Sports Performance

WAIVER OF LIABILITY, MEDICAL RELEASE, SOCIAL MEDIA, & INDEMNIFICATION AGREEMENT

I hereby voluntarily permit my child to participate in the 1 Stop Elite Sports Performance Event.

I UNDERSTAND AND FULLY ACCEPT THAT THERE ARE RISKS INVOLVED IN SPORTS AND THAT ACCIDENTS AND INJURIES ARE COMMON AND ARE ORDINARY OCCURRENCES OF SPORTS. I HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY OR DEATH AND VERIFY THIS STATEMENT BY ACCEPTING THE TERMS AND CONDITIONS .

I understand 1 Stop Elite Sports Performance will be taking pictures and videos of all those attending the 1 Stop Elite Sports Performance event and giving permission, for use of those images and videos on social media and media platforms.

As consideration for being permitted by the 1 Stop Elite Sports Performance to participate in this activity, I hereby release and hold harmless 1 Stop Elite Sports Performance, volunteers, designated coaches, and program officials and supervisors from all liability, and from all actions or claims that I or my child now or hereafter have for damage or injury to my child, or to any person or property, resulting from the negligence or other acts of any employees or volunteers in connection with my child’s participation. I further agree that this waiver, release, and assumption of risks are to be binding on the heirs and assigns of the undersigned.

I further agree to indemnify and to hold 1 Stop Elite Sports Performance (its officers, employees, agents, and volunteers) free and harmless from any loss, liability, damage, cost, or expense which they may incur as a result of any injury and/or property damage that I or my child may cause or sustain while participating in this activity.

In case of a medical emergency, I hereby give permission to 1 Stop Elite Sports Performance and Volunteers to order treatment for my child, including any necessary medical treatment and x-rays. I also hereby give permission to 1 Stop Elite Sports Performance and Volunteers to disclose the information contained on the Emergency Medical Card to medical personnel. I understand that an attempt will be made to reach me by phone when a diagnosis is completed. I agree to pay all medical, hospital, or other expenses which my child or I may incur as a result of such treatment.

1 Stop Elite Sports Performance does not disclose your nonpublic personal medical and financial information, except as required or permitted by law. The 1 Stop Elite Sports Performance also does not provide any medical or other insurance protection.

I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN ME AND THE 1 STOP ELITE SPORTS PERFORMANCE EVENT AND SIGN IT OF MY OWN FREE WILL.

Signature*

1 Stop Elite 7v7 Registration