Amanda Marie Training | Registration & Liability Waiver

Amanda Marie Training | Registration & Liability Waiver

Elite Performance, Fitness, and Movement Training
Athlete Information
Athlete Name

First NameLast Name
Athlete Age
Activity experience

Other
Current Program, Team, or Experience Level
To help provide individualized coaching, please share any goals, upcoming auditions, skill progressions, or areas of focus the athlete would like to work toward.
Parent/Guardian Name

First NameLast Name
Parent Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent Email
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Current Injuries/Restrictions
Allergies or Medical Conditions
Liability Waiver
PARTICIPATION WAIVER & RELEASE OF LIABILITY
I, the undersigned parent or legal guardian of the participant listed in this registration form, acknowledge and understand that participation with Amanda Marie Training and related movement programming involves physical activity and inherent risks, including but not limited to falls, collisions, sprains, fractures, illness, and other potential injuries associated with dance, tumbling, acrobatics, conditioning, flexibility training, and athletic movement activities. I certify that the participant is physically able to participate in these activities and agree to disclose any relevant medical conditions, injuries, allergies, or physical limitations that may affect participation. I understand that Amanda Marie Training will take reasonable precautions to promote a safe training environment; however, I voluntarily assume all risks associated with participation. In consideration for participation in this program, I hereby release, waive, and discharge Amanda Marie Training, Amanda Bernett, studio rental facilities, assistants, contractors, and affiliates from any and all liability, claims, demands, actions, or causes of action arising from injury, illness, loss, or damages related to participation in the program, except in cases of gross negligence or willful misconduct.
The following selection serves as my agreement/signature for Liability Waiver acknowledgement.
EMERGENCY MEDICAL AUTHORIZATION
In the event of illness or injury requiring emergency medical treatment, I authorize Amanda Marie Training and its representatives to obtain emergency medical care for my child if I cannot be reached immediately. I understand that I am financially responsible for any resulting medical expenses.
The following selection serves as my agreement/signature for Emergency Medical Authorization.
PHOTO & VIDEO PERMISSION
The following selection serves as my agreement/permission for Photo & Video Use.
PAYMENT
Payment for services is handled separately from this registration and liability waiver. By submitting this form, I acknowledge and agree to the payment terms associated with the training, class, workshop, or service for which my athlete is registering.
The following selection serves as my acknowledgment of the payment agreement.
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Name

First NameLast Name
E-signature
COMPLETE REGISTRATION
Should be Empty:

Amanda Marie Training | Registration & Liability Waiver

Athlete Information

Liability Waiver

PARTICIPATION WAIVER & RELEASE OF LIABILITY

EMERGENCY MEDICAL AUTHORIZATION

PHOTO & VIDEO PERMISSION

PAYMENT

COMPLETE REGISTRATION