4REAL ACADEMY FINAL FORM
Parent/Guardian Information:
Parent/Guardian Name
(Required)
First
Last
Phone Number
(Required)
Your Email Address
(Required)
Participants Information:
Participant List
Participants Name:
Current Age
Actions
Edit
Delete
There are no
Participants.
Add Participant
Maximum number of participants reached.
Emergency Contact Information
Emergency Contact Name For Participants:
(Required)
First
Last
Emergency Contact Phone Number:
(Required)
Medical Information
Does Participant Have Any Medical Conditions Special Needs? If Yes, Please Specify
Does Participant Have Any Allergies? If Yes, Please Specify
Waivers and Agreements
I authorize the program staff to obtain medical treatment for my child in the event of an emergency.
(Required)
Signature (Authorized Parent/Guardian):
I understand that participation in sports involves risk. I release 4Real Sports Academy, Staff, Volunteers, and its affiliates from any liability resulting in injuries or accidents.
(Required)
Signature (Authorized Parent/Guardian):
I agree to abide by the rules and expectations of the program. I understand that failure to comply may result in removal from the program.
(Required)
Signature (Authorized Parent/Guardian):
Comments
This field is for validation purposes and should be left unchanged.
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