New Member Waiver

Before registering for participation in any of our

campsor clinics, please fill out the following form.

Participant's first name

Guardian's Email Address

Parent(s) Names

Last name

Participant's Date of Birth

Guardian's Phone Number

Address

MEDICAL WAIVER

I do hereby waive, release and discharge Pro Performance Athletics and respective staff
and employees from any and all rights and claims for damages resulting from injuries to my person or property that may be sustained or suffered by me in connection with my association with, in participation in, or arising out of my traveling to or from the Pro Performance Athletics. We, the parents or guardians, agree to the above participation in this program, including emergency and referral services, if necessary. I have read and hereby accept the conditions described in the brochure

I agree to the conditions of the medical waiver

PHOTO RELEASE

I do hereby authorize Pro Performance Athletics (PPA) and respective staff and employees my permission to use photos or videos in connection with my association with, in participation in the PPA for publicity purposes. We, the parents or guardians, agree to the above participation in this program, I understand and agree that any photograph taken by PPA will become property of PPA . I have read and hereby accept the conditions described in the brochure.

I agree to the conditions of the photo release

Initials

Today's Date

Thanks for submitting!