Flight Tyme Pro Performance Athlete Registration

Flight Tyme Pro Performance
Athlete Registration Form
Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
Parent Contact 1 *

First Name Last Name
Phone Number *

Area Code Phone Number
Parent Contact 2

First Name Last Name
Phone Number

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Sex (M/F) *
Email *
example@example.com
Date of last physical *
Are you medically cleared for physical activity? *
What school do you attend
What sport(s) do you participate in
What sports organizations are you a member of
Please list any medical conditions and/or current medications
Emergency Contact *

First Name Last Name
Relationship *
Phone Number *

Area Code Phone Number
Please read before signing!

By signing this form, I certify my child is physically fit, has completed a physical within the last year, and is able to participate in the strenuous activities that will be provided by Flight Tyme. I also understand that there are inherent risks with all physical activity, and therefore, will hold Flight Tyme and its instructors harmless in the event my child suffers any injury while involved in the camp. In the event my child is injured, I also authorize Flight Tyme to seek medical attention, including permission to have my child transported to the nearest medical facility for treatment.
Signature *
Date *

Month Day Year
Date
Photos and videos will be taken for future promotional use for Flight Tyme’s purposes only. By signing here you approve of Flight Tyme’s promotional use of you/your child’s image on its website and future promotions.
Signature (Parent if athlete is under 18) *
Date *

Month Day Year
Date
Should be Empty:

Flight Tyme Pro Performance

Athlete Registration Form