Everett Elite Sports: Registration & Waiver
Complete the athlete details, parent contact info, schedule/payment choices, emergency/medical info, and required waivers to register.
Athlete
Athlete Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age / Grade
*
School
Sport(s) and Position(s)
Group
*
Please Select
Youth (ages 8-13)
High School (ages 14-18)
Experience Level
Please Select
Beginner
Intermediate
Advanced
Main Goals
Faster
Quicker
Jump higher
Mobility
Make a team
Shirt Size
Please Select
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Parent / Guardian
Parent / Guardian Full Name
*
First Name
Last Name
Relationship to Athlete
*
Please Select
Parent
Guardian
Other
Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Preferred Contact Method
Please Select
Text
Email
Phone call
How Did You Hear About Us?
Please Select
Free Speed Test Combine
School or coach
Friend / referral
Social media
Other
Schedule & Payment
Preferred training days (choose as many as your package includes)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Time
*
Please Select
4:00 PM
5:00 PM
6:00 PM
Medical & Emergency
Select your package
*
2 days/week, Month-to-Month: $150
2 days/week, 12-Week Total: $400
3 days/week, Month-to-Month: $200
3 days/week, 12-Week Total: $600 (Most Popular)
4 days/week, Month-to-Month: $250
4 days/week, 12-Week Total: $800
5 days/week, Month-to-Month: $350
5 days/week, 12-Week Total: $1000
Group sessions are available too. Month-to-month is rounded to the nearest $50. 12-week totals are based on $16.67 per session. Training days are subject to change due to weather or emergencies.
How will you pay?
*
Venmo
Zelle
Square (card)
Venmo: @Everettelite-Sports. Zelle: Carloseverett87@gmail.com. Square (card): https://square.link/u/mLuqtRgV?src=sheet. Please include the athlete's full name in the payment note.
Discount or referral code
Referred By
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relationship
*
Please Select
Parent
Guardian
Grandparent
Sibling
Relative
Family Friend
Other
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Family Doctor Name
First Name
Last Name
Doctor Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Health Insurance Company
Policy Number
Medical Conditions
Asthma
Heart condition
Diabetes
Seizures
High blood pressure
Concussion in the past 12 months
Recent injury or surgery
Joint/back/growth-plate problems
Allergies (food, insect, medication)
Current Medications (including inhalers or EpiPen)
Any Activity Restrictions from a Doctor?
Liability Waiver
Participation Agreement, Assumption of Risk & Liability Waiver. 1. Program: The athlete will take part in the Everett Elite Sports training program, which includes running, sprinting, agility drills, jumping, bounding, strength and core exercises, and conditioning, held outdoors at the location set by Everett Elite Sports. 2. Assumption of risk: I understand these activities involve physical exertion and carry risks, including muscle strains, sprains, fractures, falls, collisions, heat illness, dehydration, and in rare cases serious injury, permanent disability or death. Weather and surface conditions can add risk. I knowingly accept these risks for the athlete and myself. 3. Release and waiver: To the fullest extent allowed by law, I release and agree not to hold Everett Elite Sports, its owners, coaches, employees, volunteers and landlords of the location responsible for any injury, loss or damage arising from the athlete's participation, including claims based on ordinary negligence. 4. Indemnification: I agree to cover costs and claims that arise if the athlete or I break this agreement or the program rules. 5. Health and fitness: I confirm the athlete is physically able to take part and I will tell the coach about any health change. The coach may stop the athlete from taking part for safety reasons. 6. Rules: The athlete agrees to follow coach instructions and program rules, and to stop and speak up if something hurts. 7. Severability: If any part of this agreement is found unenforceable, the rest remains in effect. 8. Acknowledgment: I have read this agreement, I understand it, and I sign it voluntarily. I understand I am giving up legal rights.
I have read and agree to the waiver above, as the parent or legal guardian of the athlete.
*
I have read and agree to the waiver above, as the parent or legal guardian of the athlete.
Parent/Guardian signature
*
Parent/Guardian printed name
*
First Name
Last Name
Policies & Releases
Code of conduct: Athletes arrive on time, follow coach instructions and safety rules, respect teammates and equipment, give their best effort, and tell the coach right away about pain, dizziness or injury. Parents drop off and pick up on time (within 10 minutes of the end of a session), notify the coach by text of absences, and keep the coach updated on injuries or health changes. Attendance and make-ups: Athletes train the number of days per week in the selected package. Missed sessions can be made up in another group during the same cycle with notice and space available. Weather: Sessions may move or be canceled for lightning, heavy rain, extreme heat or unsafe fields. Families are told as early as possible, and canceled sessions are made up. Pick-up: Only people listed on this form may pick up the athlete unless the coach is told in writing. Payment and refunds: The package covers the sessions included in the selected plan, plus Week 1 and Week 12 testing for 12-week plans. Missed sessions are made up, not refunded.
I agree to the code of conduct, program policies and payment agreement.
*
I agree to the code of conduct, program policies and payment agreement.
Photo/video/social media release
*
I give permission for photos and videos of my child (first name only) on the website, social media and print marketing
I do not give permission for photos and videos to be shared publicly
Date signed
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
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