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Proformance Sports Training Registration Form
Name________________________Gender________ Age________ Grade________
What school do you attend_______________________________________
Which camp are you registering for? Location__________________Dates _________
(If unsure of the camp locations and dates, please check our website)
Please list (a) organized sport(s) played, (b) position, and (c) years played
(a)________________________ (b)__________________ (c)________________
(a) ________________________ (b)_________________ (c)________________
(a) ________________________ (b)__________________ (c)________________
Home Phone_____________Cell ________________Emergency Phone______________
Email Address____________________________________________________ ________
Why are you coming to this camp? ___________________________________________
What are your athletic goals for this year?______________________________________
If under 18, we will need your guardian’s signature______________________________
Mail this sheet along with a check ( $75.00 for the 3 day camps and $180.00 for the 5 day camps) to Proformance Sports Training to: John Opfer Director of Proformance Training P.O. Box 346 Williamsville, NY 14221
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Proformance Sports Training Release/Waiver of Liability
In recognition of the possibility of injury associated with training, and in consideration of Director John Opfer, and Proformance Sports Training Staff, accepting the above named participant for its program and activities, I hereby release, discharge, hold harmless, and/or indemnify Director John Opfer and Proformance Sports Training Staff for and against any and all claims of any nature from my (or if the participant is under the age of 18, from my child's) participation in the sports training program. I certify that I (or my child, if the participant is under the age of 18) have received a physical examination by a physician who has declared that I (or my child) am/is physically able to participate in the sports training program without restrictions.
__________________________________________
Signature of Participant or of
Parent/Guardian if Participant is under the age of 18 years old
Printed Name______________________________________
This form was prepared by:
Howard D. Gardner, Attorney At Law
135 Delaware Avenue
Suite 506
Buffalo, New York
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