* Email
* Parent First Name
* Parent Last Name
* Cell Phone
* Address 1
* City
* State
* Zip
Registrant Information
* First Child's First Name
* Last Name
* Sex
Male Female
* Grade
2
3
4
5
6
7
8
9
* School
* Shirt Size (Adult)
XS
S
M
L
XL
XXL
* Please List Any Medical Conditions
If
you are registering more than one child, please do so below.
If not, please proceed to the bottom of the form. Thank you.
Second Child's First Name
Child's Last Name
Sex
Male Female
Grade
2
3
4
5
6
7
8
9
School
Shirt Size (Adult)
XS
S
M
L
XL
XXL
Please List Any Medical Conditions
Third Child's First Name
Child's Last Name
Sex
Male Female
Grade
2
3
4
5
6
7
8
9
School
Shirt Size (Adult)
XS
S
M
L
XL
XXL
Please List Any Medical Conditions
Fourth Child's First Name
Child's Last Name
Sex
Male Female
Grade
2
3
4
5
6
7
8
9
School
Shirt Size (Adult)
XS
S
M
L
XL
XXL
Please List Any Medical Conditions
Waiver of Liability: I,
the undersigned, do hereby waive, release, and discharge all claims
for damages, death, personal injury which may occur or which may
hereafter accrue to my child as a result of participation in Triple
Threat Academy Camps. Knowing the risks of the activity, I hereby agree to
assume those risks. This release is intended to discharge and hold
harmless Triple Threat Academy, LLC and its employees from liability.
This waiver and assumption of risk is to be binding on my heirs and
assigns. I further understand that photographs may be taken of my
child during the course of the clinic and these may be used in
Triple Threat Academy, LLC publications. Please consult a physician
before beginning any type of exercise program.
* I have read and understand the release
* = Required Field
