Accelerate Your Game Application Form

AYG Application Form

_ AYG Application Form

- • If any of the questions do not apply, please put N/A as your answer.
- • Every question in RED color is required. Thank You, AYG.

[*1] AYG:

. • Please check which training you plan to attend.

Youth Strength Training
Strength and Speed training

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Winter Training - Choose Training Day - Monday | Wednesday
(choose one of the options below)

Session 1 Session 2 Session 3 Session 4

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Group Training
ACL Injury Prevention

.[*1] Please email us if you have any questions: accelyourgame@aol.com
.........or contact us here. Thank you, AYG.

Athlete's name:

Address:

City:

State:

Zip Code:

Sex:

Male Female

D.O.B:

Age:

T-Shirt Size:

Youth Adult

School:

Grade:

[*2] Group|Team:

- Name

[*2] Group|Team:

- Contact

..[*2] Fill out only if you will participate in a Group|Team Training,
...........otherwise leave it blank please. Thank You, AYG.

Parent|Guardian:

(please use N/A over 18)

Email Address:

Home Phone:

Mobile Phone:

Emergency:

- Contact's Name

Emergency:

- Contact's Phone

Comment/Question:

I'm an adult
I will pick up my child
Another adult has permission to pick up my child|children;
......the other adult's name is:

I allow "Accelerate Your Game" to publish my or my son's|daughter's image on AYG web site and brochures:

Agree Disagree

In Agreement made with Accelerate Your Game, LTD and between the above name Athlete ("Athlete") or the Athlete's Legal Guardian if the Athlete is under 18 yrs. Old ("Guardian") (collectively, "Client") and Accelerate Your Game, Ltd. ('Sports Trainer"), Client hereby retains Sports Trainer to assist Athlete in improving his/her speed, conditioning, mechanics, and fundamentals. This training will consist of programs such as proper instruction in warm-ups, stretching, start techniques, first step explosion, acceleration, and overall endurance (collectively, the "Training"). Client agrees to indemnify, hold harmless, defend, release and forever discharge Sports Trainer, including its officers, successors, assigns, agents, employees, and any person under its direction and control, from any and all liability arising from or related to the Training, including without limitation damages of any kind, cost, and attorney's fees. Client certifies that Athlete is in good physical condition and can safely participate in the Training. Client acknowledges that all physical training and activity, including the Training, involves the risk of injury. Client hereby, and by Athlete's participation in the Training, accepts these risks and further acknowledges that it is Client's obligation & sole responsibility to notify Sports Trainer of any injuries and/or physical conditions that might limit Athlete's ability to safely participate in the Training and to stop Athlete's participation in any activity that may be injurious to Athlete. Notwithstanding the foregoing, Sports Trainer may limit Athlete's participation in any activity at any time for any reason.

Agree Disagree