Complimentary Speed & Agility Class

Upon completing this form, you will be officially registered to attend any Speed & Agility Drop in training session of your choice. Don’t delay, this offer is valid through Sunday, February 6th.

Athlete Information

ATHLETE’S LAST NAME *

ATHLETE’S FIRST NAME *

ATHLETE’S DATE OF BIRTH *

ATHLETE’S CURRENT AGE *

Parent/ Guardian Information

ATHLETE’S CURRENT GRADE *

PARENT’S LAST NAME *

PARENT’S FIRST NAME *

EMAIL ADDRESS *

PHONE NUMBER *

Address

Apt, suite, etc.

Country

City

Zip code

Waiver and Release of Liability

I understand that, in sports performance and football camps, there is always a risk of permanent or partial injury and/or disability. I hereby waive and release Fury Performance, the owner, employees, sponsors, and all participants directing their programs from any liability for injuries the student might incur while participating in the programs, camps, clinics, and training sessions. I certify by my signature below, that I know of no mental or physical problems that might affect the athlete’s ability to safely participate in the programs offered by Fury Performance. I further agree to be solely responsible for any medical or related expenses that arise from the athlete’s participation and/ or attendance in the programs offered by Fury Performance. I hereby authorize the coaches and/or instructors and/or management of Fury Performance to act for me in my absence according to their judgment in any emergency requiring medical attention.

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