On The Map Training Academy Workshop Registration Form

On The Map Training Academy Workshop Registration Form

Why Your Athlete Isn't Standing Out... (YET)

Complete form below to signup for the workshop.
Athlete Name

First NameLast Name
Parent Name

First NameLast Name
Parent E-mail
example@example.com
Athlete E-mail
example@example.com
Parent Phone Number
Format: (000) 000-0000.
Athlete Age
Sports Played
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
WebsiteFriend/ColleagueOnline SearchSocial Media

What is the biggest thing holding back your athlete right now?
Has your athlete ever worked with a trainer before?

LIABILITY WAIVER & RELEASE OF CLAIMS

By checking this box, I (the parent/guardian and/or participant) acknowledge and agree to the following:

I understand that participation in training sessions, workshops, and physical activities hosted by On The Map Training, led by Claybourne Miller, and conducted at TIYT Fitness, involves inherent risks, including but not limited to injury, physical exertion, and accidents.

I voluntarily assume full responsibility for any risk of injury, damage, or loss that may occur as a result of participation.

I affirm that the participant is physically capable of participating and has no medical conditions that would prevent safe participation. I understand it is my responsibility to consult a physician if needed.

I hereby release, waive, and discharge Claybourne Miller, On The Map Training LLC, and TIYT Fitness, including all staff, contractors, and representatives, from any and all liability, claims, or causes of action arising out of participation.

I agree to indemnify and hold harmless all listed parties from any claims brought on behalf of the participant.

In the event of an emergency, I authorize staff to obtain necessary medical treatment and understand I am responsible for any associated costs.
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