Workshop Form

Please complete the form below and select the workshop you want to attend.

Name *

First Name Middle Name Last Name

E-mail *

example@example.com

Number *

Area Code Phone Number

Alternate Number

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Which workshop do you want to attend?

Website Creation $50 Self Empowerment FREE Culinary Arts $50 Health & Fitness $50 DIY Projects $50

Would you be interested in a particular style of exercise for the Heath & Wellness workshop?

LIABILITY WAIVER AND INDEMNITY AGREEMENT

I have read and agree to all terms set forth in this document. *

[TYPE FIRST AND LAST NAME TO SIGN AND SUBMIT]

If you are unable to attend a class after you have registered, please provide a courtesy notice at least 24 hours prior to your class start time. As conditions of the participation in any of the programs conducted by Frontline Outreach SportsCenter, LLC, including but not limited to the basketball court, soccer court, tennis court, pool, arena and programs, whether conducted on or off the premises of Frontline Outreach SportsCenter, I agree to the following: I waive any claims for bodily injury, personal injury or property damage against Frontline Outreach SportsCenter, its officers, directors, shareholders, employees, agents and insurers (collectively, Frontline Outreach), and any owners or lessors of the premises and any equipment used in connection with any programs of Frontline Outreach SportsCenter arising out of myself or my child’s participation in any of the programs of Frontline Outreach SportsCenter whether on or off Frontline Outreach SportsCenter’s premises, or travel for the purpose of participating in any such programs or event. I understand that this waiver extends to injuries incurred by any member of my family identified above, including my child, myself, or any other family member. This agreement shall remain in effect as long as and whenever I participate in any activity at or with Frontline Outreach SportsCenter. If this agreement is not effective to waive liability on behalf of my child, myself or other family member, we further agree to indemnify Frontline Outreach SportsCenter for its liability including all costs, fees and expenses incurred by Frontline Outreach SportsCenter in connection with such liability. AUTHORIZATION OF MEDICAL CARE: In the case of illness or injury, if I cannot be reached, I authorize and desire medical care for my child at the discretion of the attending physician. I accept responsibility for all associated expenses. AUTHORIZATION OF LIKENESS RIGHTS: At any given time, Frontline Outreach SportsCenter may take photographs, audio or video recordings of teams or classes. I authorize Frontline Outreach SportsCenter or its designated agents to use and display likeness images of my child or myself for advertising and decorative purposes. In addition to other safety rules we have in place, we have a no tolerance policy with regard to certain behaviors. Violence, racial slurs, profanity, refusing to follow rules, disrespecting staff or any other behavior deemed dangerous or unacceptable by gym staff may result in being asked to leave and possibly being prohibited from attending future events at the gym. In this instance, no refund of any amount will be issued.

Please verify that you are human *

Frontline Outreach Workshops