HORSEPOWER REGISTRATION FORM
THIS FORM ALLOWS YOU TO PARTICIPATE IN HORSEPOWER PERFORMANCE TRAINING ACTIVITIES.
ATHLETE'S FULL NAME(S) *
Your answer
ATHLETE(S) AGE *
Your answer
PARENT FULL NAME *
Your answer
PARENT BEST EMAIL *
Your answer
PARENT PHONE *
Your answer
PARENT FULL NAME
Your answer
PARENT BEST EMAIL
Your answer
PARENT PHONE
Your answer
EMERGENCY CONTACT (Please provide name, phone number and relationship)
Your answer
WAIVER AND RELEASE AGREEMENT
Safety is our number one goal and while we intend to host a safe and injury free event, it is important to realize that participating in athletic activities involves the potential for injury. I acknowledge that even with reasonable coaching, the use of reasonable protective equipment, and observance of rules, injuries are still a possibility. On occasion, these injuries could be severe. I acknowledge that I have read and understand the warning. I will be responsible for any medical or other charges that result from my child’s attendance in the Horsepower Speed & Performance Clinic. I hereby release Horsepower Speed and Performance, their agents, employees from any and all liability, claims, suits, demands, judgments and expenses arising from such activity. In the event of an injury to my son/daughter and I cannot be contacted, I hereby authorize the Horsepower’s director, coaches and/or approved agents to evaluate and treat any injury accordingly and authorize the transport to the nearest emergency medical center for treatment.
I have read all the information above and grant permission for my child to participate in Horsepower Speed & Performance Classes. *
PHOTOGRAPHY AGREEMENT
We do utilize videos to share and promote Horsepower programs and services. We also use video to show parents and coaches the progress that has been made through participation in the programs. You can agree or disagree to consent for your child to be filmed for any of the mentioned purposes.
I have read all the information above and grant permission for my child to be photographed or filmed in Horsepower Speed & Performance Classes. *
WHAT SPORT(S) DOES YOUR CHILD PLAY?
WHAT SEASON(S) DO THEY PLAY?
HOW WOULD YOU RATE THEM AS A PLAYER?
WHICH OF THE FOLLOWING ARE IMPORTANT TO YOU?
HAS YOUR CHILD HAD SPORTS PERFORMANCE TRAINING BEFORE?
HOW COMMITTED ARE YOU AND YOUR CHILD TO IMPROVING?
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