ASPO Track Training Coach/Athletic Director Registration
Please complete this form no later than the Monday prior to the date of the training you wish to attend.
First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Phone Number
Your answer
School
Your answer
Position
Coaching Certifications
Your answer
Have you previously coached an adaptive athlete?
Do you currently have an adaptive athlete on your team?
How did you hear about the regional trainings?
Your answer
Which training are you attending?
What do you hope to gain from this training?
Your answer
Comments
Your answer
Adaptive Sports Program of Ohio is hereby given permission for photographing, recording, and/or illustrating of an individual for release to the news media, promotional, and/or recruiting purposes.
ASPO Waiver, Release of Liability, and Consent for Medical Treatment:In exchange for my being allowed to participate in the Adaptive Sports Program of Ohio (“ASPO”) activities, programs and/or events, I and if I am not yet 18 years old, my parent or legal guardian, agree to be bound by each of the following: 1. Assumption of Risks: I assume all risks connected with my participation in ASPO’s activities, programs and/or events. I accept personal responsibility for any liability, injury, loss, or damage in any way connected with my participation in ASPO’s activities, programs and/or events. 2. Waiver and Release: I release and discharge ASPO and each of their directors, officers, sponsors, agents, and assigns from all claims for any liability, injury, loss or damage in any way connected with my participation in ASPO’s activities, programs and/or events.. I intend for this waiver and release to also apply to my relatives, personal representatives, heirs, beneficiaries, next of kin, and assigns who might pursue any legal action or claim for such liability, injury, loss or damage. 3. Consent for Medical Treatment: I agree that ASPO may, but have no duty to provide me, through medical personnel of their choice, medical assistance, transportation, and emergency medical services. I have read this Waiver, Release, and Consent and understand and agree to the terms and conditions contained herein. I am signing this Waiver, Release, and Consent voluntarily.
Submit
Never submit passwords through Google Forms.
This form was created inside of Adaptive Sports Program of Ohio. Report Abuse - Terms of Service - Additional Terms