Join Now — Athletes Making A Resolution 1st

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PARTICIPant FORM

Participant Name

First Name

Last Name

Parent Name

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Birth Date

Male

Female

Emergency Contact

First Name

Last Name

Sport

Track and Field

Basketball

Football

Baseball

Softball

This registration form is complete and accurate. I understand that AMR1 assumes no responsibility for injuries or illnesses which may be sustained as a result of participation in sports programs or practices, sport specific training, the use of any equipment, or other activities while involved with AMR1. I expressly acknowledge that the participant assume the risk for any and all injuries and all illnesses which may result from my participation in these activities. I acknowledge that the participant has been medically cleared to participate in vigorous physical activities. I also understand that there is a risk of injury while participating in physical activity and I agree to hold harmless AMR1, as well as their respective staff and volunteers, for accidents or injuries arising out of my participation in the activity.

I hereby give permission to the personnel of AMR1 to video tape, photograph, make voice recordings or motion picture of me and/ or my minor child/children, to be used in connection with the internet, printed materials, visual and auditory presentations, or to use in a depiction of sports activities/programs. Also these items will be exclusive property of AMR1 and I will not receive any compensation for my participation.