BAY AREA REGIONAL 2026

QUARTERBACK POSITION IS INVITE ONLY

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Athlete Name*

First NameLast Name

Phone Number*

Area CodePhone Number

E-mail*

Confirmation Emailexample@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Emergency Contact Name*

First NameLast Name

Emergency Contact*

Area CodePhone Number

Class/ Grade*

Current School*

HUDL LINK

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Waiver (by clicking this option I am agreeing to all waiver terms) *MUST BE LEGAL GUARDIAN 18+**

•I have volunteered to participate in a sports program provided to me by (GRINDMODE ELITE SPORTS LLC) which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise. In consideration of (GRINDMODE SPORTS LLC) agreement to instruct me, I do here now and forever release and discharge and hereby hold harmless Grindmode Sports Inc, and Grindmode Sports Inc. respective agents, heirs, assigns, contractors, and employees from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting there from. THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF (1) EQUIPMENT BELONGING TO FITNESS COACH OR TO MYSELF THAT MAY MALFUNCTION OR BREAK; (2) ANY SLIP, FALL, DROPPING OF EQUIPMENT; (3) AND/OR NEGLIGENT INSTRUCTION OR SUPERVISION. I have been informed of, understand and am aware that any exercise program, whether or not requiring the use of exercise equipment, is a potentially hazardous activity. I also have been informed of, understand and am aware that any exercise and/or fitness activities involve a risk of injury, as well as abnormal changes in blood pressure, fainting, and a remote risk of heart attack, stroke, other serious disability or death, and that I am voluntarily participating in these activities and using equipment and machinery with full knowledge, understanding and appreciation of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury, regardless of severity, or death. I have been advised that an examination by a physician should be obtained by anyone prior to commencing a fitness and/or exercise program, or initiating a substantial change in the amount of regular physical activity performed. If I have chosen not to obtain a physician’s consent prior to beginning this sports program with (GRINDMODE SPORTS LLC), I hereby agree that I am doing so solely at my own risk. In any event, I acknowledge and agree that I assume the risks associated with any and all fitness related activities and/or exercises in which I participate. On the date of the event, March 21, 2026 prior to entry, each participant and his Parent/Guardian will be required to complete and sign a COVID-19 Pandemic Consent Form containing an Assumption of Risk and Waiver of Liability relating to Coronavirus/COVID-19.I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS FORM IN ITS ENTIRETY AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST FITNESS COACH FOR YOUR NEGLIGENCE OR THAT OF YOUR EMPLOYEES, AGENTS, OR CONTRACTORS. 2 This form is an important legal document that explains the risks you are assuming by beginning an exercise program. It is critical that you have read and understand this document completely. If you do not understand any part of this document, it is your ultimate responsibility to ask for clarification prior to signing it.

Name of signing Parent/Guardian *

First NameLast Name

Parent/Guardian Signature *

*Registration fee is non-refundable. In case of any changes due to any unforeseen circumstances, athletes will be honored with attendance to rescheduled event.

My Products

REGISTRATION$125.00

STREAMER TOWEL (WHITE)$10.00

RVC Streamer Towel

Spectator Ticket$15.00

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Subtotal $0.00Tax $0.00Total $0.00

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BAY AREA REGIONAL SHOWCASE