Summer Strength & Conditioning Registration Form

Summer Strength & Conditioning Registration Form

July 6 - August 11 • Times Vary
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
Parent/Guardian Phone Number
Format: (000) 000-0000.
Student Full Name

First NameLast Name
Student Email Address
Football
Monday - Thursday 9:00 am -11:00 am

Freshman Football Onboarding
Monday - Thursday 8:00 am - 9:30 am
7/6 - 7/16 only, will join the main group after completion.

Boys/Girls Soccer, Lacrosse, Baseball
Monday & Wednesday 11:15 am - 12:45 pm

Boys/Girls Basketball, Volleyball, Swim, Tennis, Wrestling
Tuesday & Thursday 11:15 am - 12:45 pm

Cheerleading
Tuesday & Thursday 10:30 am - 11:30 am

PE Credit
Monday & Wednesday 11:15 am - 12:45 pm
Cost is different ($500 total)
Additional coursework needed to receive AMHS academic hours credit

Open Group (Sport not listed or no sport)
Monday & Wednesday 11:15am-12:45pm

My Products

Football

$100.00

Freshman Football

$100.00

Boys/Girls Soccer, Lacrosse, Baseball

$100.00

Boys/Girls Basketball, Volleyball, Swim, Tennis, Wrestling

$100.00

Cheerleading

$100.00

Open Group (Sport not listed or no sport)

$100.00

PE Credit

$500.00

Enter coupon

Total

Payment Methods

Credit Card

Apple Pay

Liability Waiver: I acknowledge that participation in the Summer Strength & Conditioning program involves physical activity and assume all risks associated. I hereby release the organizers and facility from any liability for injuries or damages that may occur.
Liability and Medical Waiver

Please read carefully and acknowledge the terms below.
Consent Agreement

I grant permission for my child to participate in this AMHS class. This class will take place under the guidance and direction of school employees and/or volunteers from Archbishop Murphy High School.

As parent and/or guardian, I remain legally responsible for any personal actions taken by the above named minor participant.

I agree on behalf of myself, my child named herein, or our heirs, successors and assigns, to hold harmless and defend Archbishop Murphy High School, its officers, directors and agents, and the Corporation of the Catholic Archbishop of Seattle, chaperones, or representatives associated with the event, from connection with my child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the school, its officers, directors and agents, and the Corporation of the Catholic Archbishop of Seattle, chaperones or representatives associated with the event for reasonable attorney's fees and expenses arising therewith.
Parent/Guardian Signature
Emergency Information
Emergency Contact #1 Name

First NameLast Name
Emergency Contact #1 Phone Number
Format: (000) 000-0000.
Emergency Contact #2 Name

First NameLast Name
Emergency Contact #2 Phone Number
Format: (000) 000-0000.
Physician Name

First NameLast Name
Physician Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Physician Office Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Hospital
Insurance Company
Policy Number
Does your child have any health conditions we should be aware of? If YES, please indicate

Other
Activities in which the child should NOT participate or additional comments
Medical Release

I declare that I am the parent/guardian of child is injured or should require medical attention, I hereby request you to contact our physician. In the event that the doctor cannot be reached, I hereby authorize the necessary medical treatment for my child. I further acknowledge that I will be responsible for any medical or hospital fees or costs associated with my child's treatment. If possible, confirmation of this authorization should be made prior to treatment by calling me at the listed phone number(s).
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Signature
Today's Date

MonthDayYear
Should be Empty:

Summer Strength & Conditioning Registration Form

My Products*

Payment Methods

Liability and Medical Waiver

Consent Agreement

Emergency Information

Medical Release

My Products