Gomie & Logan Flory

Parent/Guardian Information

Emergency Information

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by NXTPlay Connect during the selected camp. In exchange for the acceptance of said child’s candidacy by NXTPlay Connect., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless NXTPlay Connect. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against NXTPlay Connect. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the NXTPlay Connect. and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the clinics.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Requirements 
 

Limited spots for each clinic.

 

Once maximum amount of athletes are registered all other athletes will be waitlisted.

Level 1/2 - athletes 4 years +

Level 3/4/5 - athletes 9 years+

Jumps and Conditioning - athletes 4 years+

 

When registering, please be mindful of your athlete’s current skill level. Our goal is for everyone to have an enjoyable experience with little to no pressure, while being able to fully absorb the information and develop their skills in an appropriate learning environment.

 

Prerequisites:

Tumbling

⭐ Level 1/2

Working on walkover and handsprings

⭐ Level 3/4/5

Working on Tucks, Layouts and Fulls

 

Stunting

⭐ Levels 2-6 

Athletes must sign up as stunt group. Price is per athlete.

** Stunt groups will work on Level appropriate challenging stunts**

Please add names of the members of your stunt group in notes

 

Coed stunting  

⭐ All ages and Levels welcome

Athletes must sign up with partner. Price is per athlete.

Please add name of Coed Stunt Partner in Notes

 

Private Lessons

*Private lessons are available for clinic registered athletes only!*

Private lessons are booked separately, you will be contacted by a memeber of our team to schedule your private lesson after requesting one.

 

 

All clinics, private sessions, semi private sessions and merchandise are non refundable.