AZ Athletic Fitness

Registration Form

Participant Information

(Preferred First and Last Name)

Student Name Training/Camp Session
(Example: 1234 E 5th Ave) (Ex: 02051998) Must be 8 digits.
Current Address Birthdate
Zip Code Parents Names:
(Format: 222-3344 if 480 area code, 602-222-2233 if other area code)
Home Phone Cell Phone
Email School
Grade Shirt Size
Returning Student? Yes No Session last season
Gender: Boy Girl Notes/Requests

Emergency Contact Information

Contact Name: Phone Relation

Please list any medical conditions we should be aware of:

Waiver of Liability

With knowledge and appreciation of the risk of injury, I wish to participate in this Activity. I agree to assume the risk of personal injury while participating. I understand the Athletic Fitness and or Gilbert Public Schools do not carry accident, sickness, or medical insurance for participants. I understand that all reasonable efforts will be extended to insure my health and safety. If the Class/Activity includes any physical exertion, I agree to perform the exercise at my own ability level. I fully understand the nature of this Class/Activity, and I waive and release and hold harmless Athletic Fitness and any of its agents, employees, officers, council members, and sponsors for any and all rights and claims for damages or costs I may have against Athletic Fitness, its agents, employees, officers, council members, and sponsors for personal injury, death, or property damage suffered by me, or that I may cause to others, as a result of my participation in this Class/Activity. I agree to look to my private physician for medical advice and care and to notify my teacher or instructor of any physical limitations I might have or modifications I might need to the Class/Activity. I will require the following as a condition precedent to participating in the Augusta Ranch 2008 Sports camp. I agree to maintain health insurance for my son/daughter while he/she participates in this camp. If I do not maintain health insurance for my son/daughter, I agree to purchase the student accident insurance policy offered by the camp through the school district. I have read and clearly understand the above statements. I realize this is a contract between myself and Athletic Fitness and is a release of Liability. I sign it of my own free will. Parent/Guardian Signature: