Elite Talent All American ShowCase

Elite Talent All American Showcase - Registration Form

3rd Grade - 8th Grade

Field Location TBA

https://www.facebook.com/Elite-All-American-Showcase-637667773249504/?modal=admin_todo_tour
Athlete Information
Player Name*

First NameLast Name
Guardian / Parents Names*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Player Grade Level

3rd Grade4rd Grade5rd Grade6th Grade7th Grade8th Grade
#1 Position
#2 Position
List top 5 Jersey Numbers
Jersey Size
Pant Size
Emergency Contact
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Do you have any allergies, chronic illness, or medical conditions that would limit high level activtiy?*

YesNo
Please describe*
Parental Permission For Emergency Treatment

In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to:
I give consent for the facility to secure any and all necessary emergency medical care for my child.
Name of Physician / Emergency Medical Care Facility
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Release of Liability

Although the safety of all sport activities is the primary concern, indoor sport activities may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the Elite All American Group and the persons in charge.
I have read and agree to the above conditions*

YesNo
Confirmation E-mail*
Signature*

Clear
After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at elitetalentallamerican@gmail.com.

My Products

Registration$300.00

Total $0.00

Credit Card

Should be Empty:

Release of Liability

Credit Card