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Austin Interest Form - Contact Page

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    What year will your athlete Graduate High School?
    • 1st Grade - Class of 2037
    • 2nd Grade - Class of 2036
    • 3rd Grade - Class of 2035
    • 4th Grade - Class of 2034
    • 5th Grade - Class of 2033
    • 6th Grade - Class of 2032
    • 7th Grade - Class of 2031
    • 8th Grade - Class of 2030
    • 9th Grade - Class of 2029
    • 10th Grade - Class of 2028
    • 11th Grade - Class of 2027
    • 12th Grade - Class of 2026
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    Boys or Girls Lacrosse?
    • Boys Lacrosse
    • Girls Lacrosse
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    We will send you info on the programs closest to you
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    Or other important notes for coaches
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    Each Level Up Lacrosse athlete is required to be a member of the US Lacrosse Foundation. US Lacrosse promotes and improves the sport through training and education, as well as provides lacrosse families with additional insurance. Many lacrosse programs around San Diego require a US Lacrosse membership. You are most likely already a US Lacrosse member. If you are a member please enter your membership # below. If you need to purchase a membership, or are not sure if you are a member already, visit www.uslacrosse.org/membership before proceeding with this registration. 
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    We need this to verify your US Lacrosse Membership
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    A big part of our training is sharing pertinent lacrosse content with our athletes. This could include NCAA and pro lacrosse highlights of players that they should be studying, videos of upcoming drills so that they can familiarize themselves with them, inspirational athletic quotes and stories, and other items that will educate and inspire their lacrosse performance. We WILL NOT share anything objectionable, graphic, lewd, political, religious, or otherwise offensive. We feel that this aspect of our training is very important, but we understand if you choose not to let us have social media contact with your child. PLEASE TYPE ANY INSTAGRAM USERNAMES BELOW THAT YOU WOULD LIKE TO RECEIVE OUR TRAINING RELATED POSTS AND MESSAGES. Parents feel free to include your username if you would like to monitor our communications.
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    We will send a weekly reminder text/email to the primary guardian phone and email address that you just entered. If would you like to add any other phone numbers or email addresses to get weekly reminders, please type them in below (Example = If a spouse/babysitter, etc drives your player, or if the drive themselves to training, you may want to add their cell #/email so that they get a reminder text/email too)
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  • 14

    ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNITY AGREEMENT DECLARATIONS:

    This Agreement is entered into between trainer Gary Hoppe of Level Up Lacrosse (“Trainer”) and the undersigned (“Client”). The provision of personal training services by Trainer to Client, and Client’s use of any premises, facilities or equipment are contingent upon this Agreement.

    ASSUMPTION OF RISK: You agree that if you engage in any physical exercise or activity, including personal training, group training, or enter a training location or use any facility or equipment on a training location premesis for any purpose, you do so at your own risk and assume the risk of any and all injury and/or damage you may suffer, whether while engaging in physical exercise or not. This includes injury or damage sustained while and/or resulting from using any premises or facility, or using any equipment, whether provided to you by Trainer or otherwise, including injuries or damages arising out of the negligence of Trainer, whether active or passive, or any of Trainer’s affiliates, employees, agents, representatives, successors, and assigns. Your assumption of risk includes, but is not limited to, your use of any exercise equipment (mechanical or otherwise), sports training equipment, lacrosse equipment, sports fields, courts, or other areas, or any other equipment. You assume the risk of your participation in any activity, including but not limited to weight lifting, walking, jogging, running, speed and agility training, competing against the trainer, or any other sporting or recreational endeavor. You agree that you are voluntarily participating in the aforementioned activities and assume all risk of injury, illness, damage, or loss to you or your property that might result, including, without limitation, any loss or theft of any personal property, whether arising out of the negligence of Trainer or otherwise.

    RELEASE: You agree on behalf of yourself (and all your personal representatives, heirs, executors, administrators, agents, and assigns) to release and discharge Trainer (and Trainer’s affiliates, related entities, employees, agents, representatives, successors, and assigns) from any and all claims or causes of action (known or unknown) arising out of the negligence of Trainer, whether active or passive, or any of Trainer’s affiliates, employees, agents, representatives, successors, and assigns. This waiver and release of liability includes, without limitation, injuries which may occur as a result of (a) your use of any exercise or training equipment or facilities which may malfunction or break, (b) improper maintenance of any exercise equipment, training equipment, lacrosse equipment, premises or facilities, (c) negligent instruction or supervision, including personal training, (d) negligent hiring or retention of employees, and/or (e) slipping or tripping and falling while on any portion of a premises or while traveling to or from personal training, including injuries resulting from Trainer’s or anyone else’s negligent inspection or maintenance of the facility or premises.

    INDEMNIFICATION: By execution of this agreement, you hereby agree to indemnify and hold harmless Trainer from any loss, liability, damage, or cost Trainer may incur due to the provision of personal training by Trainer to you.

    ACKNOWLEDGMENTS: You expressly agree that the foregoing release, waiver, assumption of risk and indemnity agreement is intended to be as broad and inclusive as permitted by the law in the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. You acknowledge that Trainer offers a service to his/her clients encompassing the entire recreational, lacrosse, and/or fitness spectrum. This release is not intended as an attempted release of claims of gross negligence or intentional acts. You acknowledge that you have carefully read this waiver and release and fully understand that it is a release of liability, express assumption of risk and indemnity agreement. You are aware and agree that by executing this waiver and release, you are giving up your right to bring a legal action or assert a claim against trainer for trainer’s negligence, or for any defective product used while receiving personal training from trainer. You have read and voluntarily signed the waiver and release and further agree that no oral representations, statements, or inducement apart from the foregoing written agreement have been made.

    CLICK NEXT TO ELECTRONICALLY SIGN WAIVER

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    Please sign electronically using your finger
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    Questions or comments?
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