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DVAC Non-Member Registration Form
This form must be completed and credit card information must be on file before participating in any activities. After the form is complete, you may call the club 828-262-3337 to sign up for classes and clinics! Thank you!
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Email *
Phone Number *
Name *
Dependent Name (s)
Which amenity are you a guest of? *
Date of Birth *
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DD
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YYYY
Street Address *
City *
State *
Zip *
Emergency Contact *
Relationship *
Emergency Contact Phone Number *
Physician Name *
Physician Phone Number *
Allergies or Other Special Conditions *
Medical Waiver - Enter Your Name as Your Signature *
MEDICAL RELEASE: Deer Valley Athletic Club gives safety of its participants the highest priority. We employ competent and trained instructors and use safe equipment. If there is an accident, we will make every effort to contact the emergency contact first. IF WE CANNOT get in touch with you, then we must have authorization to secure medical treatment! I hereby authorize Deer Valley Athletic Club to secure medical treatment for in an emergency which may occur while he/she is attending the facilities.
Liability Waiver - Enter Your Name as Your Signature *
I understand that any activity involving motion, rotation or heights may cause accidental injury. I hereby release Deer Valley Athletic Club, and it’s instructors from all claims of liability including injuries that could occur while I am or my child is at the club.
Photo Release - Enter Your Name as Your Signature *
I grant Deer Valley Athletic Club my permission to use the photographs taken of me or my child from our classes, clinics, and special events for any legal use, including but not limited to: publicity, copyright , illustration, advertising, and web content.
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