B3 ACADEMY LLC REGISTRATION FORM
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Email *
ATHLETE NAME *
DOB *
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AGE *
ADDRESS *
CELL PHONE *
              CONSENT AND LIABILITY WAIVER- RELEASE OF ALL CLAIMS



       B3 Academy Information and ReleaseI hereby give my permission for the above player to participate in the B3 Academy program. I understand that as a condition of admittance as a player, I the undersigned, release B3 Academy its officials and members from any liability for any injuries or illness(i.e covid-19), mental or physical, due to the players participation during or related to B3 Academy. In the event of any accident or injury, I (we) the undersigned parent(s)/guardian(s) give my (our) consent for emergency medical care prescribed by a duly licensed doctor of Medicine and/or Doctor of Dentistry. I hereby grant authority to a qualified physician or dentist to render such medical treatments as said physician and/or dentist deems necessary under the circumstances and to preserve the life, limb or well being of my dependent.                                                  
I HAVE CONFIRMED THE LOCATION OF TRAINING SESSIONS WITH A MEMBER OF B3 ACADEMY LLC AND I UNDERSTAND THAT THERE ARE ABSOLUTELY NO REFUNDS. *
PARENT/GAURDIAN(S) NAME *
DATE *
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A copy of your responses will be emailed to the address you provided.
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