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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 *

Liability & Photo Release

 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

Comments or Questions