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Full Throttle Player Registration Form
Our training programs are based on the premise that creating authentic game situations combined with high volume quality reps significantly increases our clients' ability to transfer skills and IQ into the live game setting.
Subsequent to completing the registration form you will be contacted via email by a member of the Full Throttle team to establish a set training schedule, as well as collect payment.
A PAYPAL INVOICE WILL BE SENT VIA EMAIL WITHIN 24-48 HOURS OF YOUR REGISTRATION
* Required
Player Name
*
Your answer
Player Development Program
*
In-person Training - Private
In-person Training - Small Group
Virtual Training - Private
Virtual Training - LIVE
Personal Coach
Training Frequency
*
1 session per week
2 sessions per week
3 sessions per week
Weekly Virtual Group
Monthly Virtual Group
Discount Code
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Graduation Class
*
Example: 2025
Your answer
Height
*
Example: 5'9
Your answer
Position
PG
SG
SF
PF
C
Clear selection
School
*
Your answer
Player Phone
*
Example: 124-234-4566
Your answer
Player Email
*
Your answer
Player Instagram Handle
Required for LIVE Virtual Training
Your answer
Player Twitter Handle
Your answer
Player Shirt Size
XS
S
M
L
XL
XXL
Clear selection
Player Shorts Size
XS
S
M
L
XL
XXL
Clear selection
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Primary Parent/Guardian Contact Name
*
Your answer
Primary Parent/Guardian Phone
*
Your answer
Primary Parent/Guardian Email
*
Your answer
Secondary Parent/Guardian Contact Name
Your answer
Secondary Parent/Guardian Phone
Your answer
Secondary Parent/Guardian Email
Your answer
PARTICIPATION WAIVERS
*
Injury and Illness Liability Waiver 1) The risk of injury and illness from the activities involved in this program is significant, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury and illness does exist; and 2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation; and, 3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releases from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. Release for Recording and Image I, the undersigned, do hereby grant Full Throttle to use the image of my child without financial compensation. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the Full Throttle website and social media outlets.
I have read the above release and waiver of liability and fully understand its contents. I am at least 18 years of age and voluntarily agree to the terms and conditions stated above.
Required
How'd You Hear About Us
Word of Mouth
Instagram
Twitter
Facebook
In Person - Andrea Riley
In Person - Charles Stoker
In Person - Earl Rooks
In Person - Gerry'ke
In Person - Jordon Johnson
Other
Clear selection
If 'Other' is how you heard about us, please specify
Your answer
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