Blitz Sports Training Registration
Welcome to Blitz Sports: You are here because you want to sign up for one of our exciting programs. Welcome aboard!
Athletes Name: *
Your answer
Athletes Age *
Your answer
Birth date *
MM
/
DD
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YYYY
Parents Name: *
Your answer
Primary Email Address: *
Your answer
Secondary Email
Your answer
Primary Cell Phone *
Your answer
Secondary Phone
Your answer
Which Program(s) are you signing up for? *
Required
Sports *
Your answer
Playing Positions *
Your answer
What athletic skills would you like to see them most improve? *
Your answer
Medical Conditions, Concerns or limitations *
Your answer
The Blitz/Blitz Sports General Release and Hold Harmless Agreement:
I hereby authorize the staff of Blitz Sports, its directors, agents, doctors, athletic trainers, and hospital to act for me in accordance, with their best judgment in any emergency requiring medical attention. I hereby waive and release Blitz Sports, its employees, sponsors, suppliers and facilities from any liability, for expenses incurred due to sickness or accidental injury sustained while participating in training activities. I know of no mental or physical problems (other than above mentioned) that might adversely affect my child’s ability to participate in any of the Blitz Sports programs.

I, personally and on behalf of my Child, hereby give Blitz Sports, permission to use my and/or my child's name, photograph, quotations and likeness in any advertisements or promotions performed in connection with the Program/Clinics/Camps and agree that neither I nor my child shall be entitled to any compensation for such use.

I have read and agree to comply with the above statement. My signature below indicates I have read, understood and freely signed this agreement, which shall take effect as a sealed instrument. I expressly agree that this agreement shall be construed and enforced in accordance with Georgia law, and I consent to the jurisdiction of said state. I agree that this waiver and release is intended to be as broad and inclusive as permitted under Georgia law so that if any portion hereof is held invalid the balance shall continue in full legal force and effect.

Parent/Guardian/(if under age of 17) Participant *
Your answer
Any Additional Thoughts or Concerns? *
Your answer
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