Child's First Name *
Child's Last Name *
Child's Birthday *
Child's Gender * M F
Classroom # or Teacher's Name
Parent's Name *
Address *
City *
State *
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ZIP Code *
Primary Phone Number *
E-mail address *
I Agree to the Liability Release *
Your child will remain under the care, direction and supervision of the school while receiving instruction from AMAZING ATHLETES. I hereby release and discharge AMAZING ATHLETES, the Childcare Facility and its members from all actions, claims, demands, injury or damage resulting from my child"s participation in this activity.
I Agree to the Photo Release
I give AMAZING ATHLETES permission to publish pictures and/or videos of my child participating in the Amazing Athletes program. Comments or Questions
