Fury Performance Registration/Waiver Form
WAIVER AND RELEASE OF LIABILITY
I understand that, in sports performance training, there is always a risk of permanent or partial injury
and/or disability. I hereby waive and release Fury Performance Academy, the owner, employees, sponsors, and all participants directing their programs from any liability for injuries the student might incur while participating in the programs, camps, clinics, and training sessions. I certify by my signature below, that I know of no mental or physical problems that might affect the athlete’s ability to safely participate in the programs offered by Fury Performance Academy. I further agree to be solely responsible for any medical or related expenses that arise from the student’s participation and/ or attendance in the programs offered by Fury Performance Academy. I hereby authorize the instructors and/ or management of Fury Performance Academy to act for me in my absence according to their judgment in any emergency requiring medical attention.
I understand and agree that Fury Performance Academy, its owner, employees, and instructor’s will not be held responsible for the loss of any personal property sustained during the athlete’s attendance at any Fury Performance services, programs, or lessons. I understand that Fury Performance is not providing medical insurance for any programs or lessons administered upon to students, and I certify that all information concerning my child’s insurance policy is factual and true.


ONE TIME MEMBERSHIP FEE: $20 per athlete or $30 per family. Family represents two plus students from same family.


PAYMENT METHODS: We accept Checks, Cash, and all major Credit Cards. Checks need to be made out to Fury Performance and in the Memo section of the check include the athlete’s name. All payments must be made at the time of the training. For semi-private and team sessions a 50% deposit must be made at the time of scheduling and the remaining balance will be due at the first session.

RETURN CHECK FEE: $25 and cash only payments will be accepted for future training.

CANCELLATION POLICY: For private, semi-private, and team training sessions a 24 hour notification is required. Failure to cancel within 24 hours will require full payment for a missed session with no communication with Fury Performance Academy.

COVID DISCLAIMER: Under Georgia law, there is no liability for an injury or death of an individual entering these premises if such injury or death results from the inherent risks of contracting COVID-19.  You are assuming this risk by entering these premises. Any person entering the premises waives all civil liability against this premises owner and operator for any injuries caused by the inherent risk associated with contracting COVID-19 at public gatherings.

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Email *
Athlete's First Name *
Athlete's Last Name *
Athlete's Date of Birth *
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DD
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Sport(s) of Interest *
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Parent's Name *
Parent's Street Address *
City/State/Zip Code *
Parent's Phone number *
Medical Conditions or Concerns
Signature *
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