Athletes
Full Name |
*
|
Street
Address |
|
City |
|
State |
|
Zip
Code |
|
County |
|
Date
Of Birth |
|
Parent(s)/Guardian(s)
Full Name |
|
Phone
number where you can be contacted |
*
|
Emergency
phone number where you can be contacted |
|
E-mail
address to send information |
*
|
Best
time to reach you |
|
|
|
Fast
Camp |
|
June
7-11, 2004 9-10:30 AM
Yes
|
|
July
12-16, 2004 9-10:30 AM
Yes
|
|
August
2-6, 2004 9-10:30 AM
Yes
|
|
Soccer
Speed Camps |
|
June
21-25, 2004 2-3:30 PM
Yes
|
|
July
5-9, 2004 9-10:30 AM
Yes
|
|
Any
medical conditions..please explain. |
|
Check
your prefered method of payment. Credit Card
Check
|
|
If you pay
by check, you will need to pay prior to starting the camp.
|
|
Check credit
card type.
Visa
Mastercard
Discover
(You will be contacted by us for the information)
|
|
How you
attended other camps?
Yes
No
|
|
If
so, which ones? |
|
Comments
or Questions |
|
Waiver
I understand that the performance camp that I am participating in is
being offered solely by Rebound Sports Performance. I am participating
in this program voluntarily and have no known physical limitation
or impair-ment mat may limit my ability to engage in various
sports, coordination events, or fitness testing/training. I assume
all risks of injury and agree to waive any claim or rights that
I might otherwise have to hold liable Sports Performance Inc
employees, owners, officers or any agents. It is always advisable
to consult your physician prior to undertaking any physical exercise
program.
By
clicking the "Submit Button" you aggree with the above
waver.
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