Group Speed and Agility Registration

Athletes Name *

First Name

Last Name

Parents Name *

First Name

Last Name

Phone *

(###)

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Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

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Waiver *

I understand that my child has enrolled in the YOUNG SPORTS PERFORMANCE Speed & Agility / Fitness program, which take place at several locations in Snohomish County. I understand that there is risk associated with participating in the speed and agility camp, which could include the risk of injury and/or property, including death. In consideration of being allowed to participate in the camp and related events and activities, I the undersigned parent/guardian of the child named above do hereby acknowledge, appreciate and agree to as followed: I, HEREBY RELEASE, WAIVE, DISCHARGE FOREVER AND COVENANT NOT TO SUE YOUNG SPORTS PERFORMANCE, it's directors, officers, agents, employees, and any camp sponsor, coaches, volunteers, and others involved in the camp (hereinafter “Release”) from all liability to the undersigned or such children and all his or her personal representative sign, heirs and next of kin for any loss or damage and any claim or demand therefore on account of any and all injury to person or property, including death, to the undersigned or such children while the undersigned or such children are attending the camp or related activity. THE UNDERSIGNED FURTHER AGREE TO INDEMNITY AND SAVE AND HOLD HARMLESS the Releases and each of them from and loss, liability, damage or cost ( including attorney fees) the Releases may incur as a result of attendee attendance at the camp or any related activity thereof. The UNDERSIGNED FURTHER expressly agrees that the foregoing Release, Waiver, and INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the law of the State of Washington and that is any portion thereof is held invalid, it is agreed, that the balance shall continue in full force and effect. THE UNDERSIGNED WARRANTS that he/she has Knowledge of any physical impairment that would be affected by the attendee’s participation in the camp. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGN THE RELEASE, WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agree that no oral representations, statements, or inducements not contained in this Waiver have been made.

Agree

Disagree

Photography Release *

I agree to allow my child’s name and photograph to be included in Young Sports Performance publications and in information shared with the media and\or social media accounts.

Yes

No