Participation / Waiver Form

Player's Name*

First NameLast Name
Which Area?*
Grad Year*
Grade Level*
in the Fall of...*
Birth Date*

MonthDayYear
Jersey/Shirt Size*
6 months from now
Shorts Size*
6 months from now

Preferred Jersey Number (Between 0-99)*

	1	2	3
Top 3 Choices

You must choose 3 different numbers.
LET US KNOW WHICH YOU CARE MORE ABOUT SO WE CAN BEST SERVE YOU. We see all options as positive.

Which BEST describes your player, their parent/guardian, and the other parent/guardian (if applicable)*

	Full Name	From where do you draw your energy?	How do you take in information?	How do you make decisions?	How do you organize your world?
PLAYER
GUARDIAN 1
GUARDIAN 2 (or N/A)

{parent1name}'s Email*
Best email for future contact
{parent1name}'s Phone*

Area CodePhone Number
{parent2name}'s Email*
or alternative email, if no second guardian
{parent2name}'s Phone

Area CodePhone Number
{playername}'s Email*
or alternative email, if player has no email
{playername}'s Phone

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Alternate Address (if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Waiver Acknowledgement*

I've filled out this FORM fully & accurately, I've read through the DETAILS page, I've spoken with a representative about all my OPTIONS, and I feel FULLY confident in my decision to join this program.
prevnext( X )
Include a free copy of the $50 monthly homework book$ Free

I'd like to purchase the $150 curriculum now at a discounted price$100.00
This includes our daily itinerary of drills, monthly homework, daily challenges, motivational stories, and much more. Alternatively, each player may take months to earn this on their own. This discount is a one-time offer upon completion of this form.

Total $0.00
Calculation 1
Grad Calc
PLAYER
PLAYERNAME
PARENT1NAME
PARENT2NAME
PARENT1
PARENT2
PLAYER RESULTS
PARENT1 RESULTS
PARENT2 RESULTS
PLAYER OPTIONS

In relaxed solitudeBy seeing patternsBy thinking things throughBy planning aheadIn relaxed solitudeBy seeing patternsBy thinking things throughWith spontaneityFrom being around othersBy seeing patternsBy thinking things throughBy planning aheadFrom being around othersBy seeing patternsBy thinking things throughWith spontaneityIn relaxed solitudeBy seeing patternsBased off feelingsBy planning aheadIn relaxed solitudeBy seeing patternsBased off feelingsWith spontaneityFrom being around othersBy seeing patternsBased off feelingsBy planning aheadFrom being around othersBy seeing patternsBased off feelingsWith spontaneityIn relaxed solitudeBy experienceBy thinking things throughBy planning aheadIn relaxed solitudeBy experienceBased off feelingsBy planning aheadFrom being around othersBy experienceBy thinking things throughBy planning aheadFrom being around othersBy experienceBased off feelingsBy planning aheadIn relaxed solitudeBy experienceBy thinking things throughWith spontaneityIn relaxed solitudeBy experienceBased off feelingsWith spontaneityFrom being around othersBy experienceBy thinking things throughWith spontaneityFrom being around othersBy experienceBased off feelingsWith spontaneity
PARENTONE OPTIONS

In relaxed solitudeBy seeing patternsBy thinking things throughBy planning aheadIn relaxed solitudeBy seeing patternsBy thinking things throughWith spontaneityFrom being around othersBy seeing patternsBy thinking things throughBy planning aheadFrom being around othersBy seeing patternsBy thinking things throughWith spontaneityIn relaxed solitudeBy seeing patternsBased off feelingsBy planning aheadIn relaxed solitudeBy seeing patternsBased off feelingsWith spontaneityFrom being around othersBy seeing patternsBased off feelingsBy planning aheadFrom being around othersBy seeing patternsBased off feelingsWith spontaneityIn relaxed solitudeBy experienceBy thinking things throughBy planning aheadIn relaxed solitudeBy experienceBased off feelingsBy planning aheadFrom being around othersBy experienceBy thinking things throughBy planning aheadFrom being around othersBy experienceBased off feelingsBy planning aheadIn relaxed solitudeBy experienceBy thinking things throughWith spontaneityIn relaxed solitudeBy experienceBased off feelingsWith spontaneityFrom being around othersBy experienceBy thinking things throughWith spontaneityFrom being around othersBy experienceBased off feelingsWith spontaneity
PARENTTWO OPTIONS

In relaxed solitudeBy seeing patternsBy thinking things throughBy planning aheadIn relaxed solitudeBy seeing patternsBy thinking things throughWith spontaneityFrom being around othersBy seeing patternsBy thinking things throughBy planning aheadFrom being around othersBy seeing patternsBy thinking things throughWith spontaneityIn relaxed solitudeBy seeing patternsBased off feelingsBy planning aheadIn relaxed solitudeBy seeing patternsBased off feelingsWith spontaneityFrom being around othersBy seeing patternsBased off feelingsBy planning aheadFrom being around othersBy seeing patternsBased off feelingsWith spontaneityIn relaxed solitudeBy experienceBy thinking things throughBy planning aheadIn relaxed solitudeBy experienceBased off feelingsBy planning aheadFrom being around othersBy experienceBy thinking things throughBy planning aheadFrom being around othersBy experienceBased off feelingsBy planning aheadIn relaxed solitudeBy experienceBy thinking things throughWith spontaneityIn relaxed solitudeBy experienceBased off feelingsWith spontaneityFrom being around othersBy experienceBy thinking things throughWith spontaneityFrom being around othersBy experienceBased off feelingsWith spontaneity
Should be Empty: