L5-D75-220806G | Level 5 Athletics

Clinic Registration

Discovery 75 Girls HS Team Preseason Camp (L5-D75-220806G)

Player Information

First Name *

Last Name *

Email *

Email Validation *

Please enter email address again. Must match.

Shirt Size *

Position *

High School/Club Name *

Coach Name *

Medical Information

Does player have any medical condition that affect performance, or in which we should be aware? *

Yes

You answered Yes to the above, please explain. *

Emergency Contact

Name Emergency Contact *

Phone *

Relation to Child *

Policies

Accept Release of Liability *

Yes

Please read and agree to our Release of Liability agreement. You must accept the agreement before your child can participate in our programs.

Accept Photo Policy *

I Accept

Please read and agree to our Photo Policy. You must accept our photo policy before your child can participate in our programs.

Photo Policy

Level 5 Athletics takes photos at many clinics, camps and sessions. Unless expressly cited in writing to exclude my child, I understand that the images may be used in Level 5 publications and marketing materials.

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