A2 Plyo-Speed-Agility TrainingAthlete Name * First Last Athlete Age *12131415161718 Contact Name * First Last Contact Email * Contact Phone * Additional Information Please explain any medical conditions or other information that we should be aware of. Athletic Training Sessions Athletic Training Sessions for ages 12-18 Dates: Saturdays -- on dates listed below Time: 10:00am - 11:00am Cost: $25 for each session or $90 for all 4 sessions. Minimum of 4 athletes needed per session. All sessions at the A2 Sports Gardens Athletic Training Sessions Check all dates you plan to attendSat, Dec 5, 2015Sat, Dec 12, 2015Sat, Dec 19, 2015Sat, Jan 2, 2015 Waiver of Liability I, individually and as the parents(s) or guardian(s) of athlete named above, a minor, ask that he/she be admitted to participate in this event sponsored by the Advancement Academy. In consideration of the acceptance of this application, I, intending to be legally bound, hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claim for damages I may have against Advancement Academy, the directors, coaching staff, representatives and or assignees, for any and all damages which may be sustained and suffered by me (and the above named athlete) in connection with my association with or entry in this class(s), and which may arise in my traveling to, participating in, or returning from this class(s). Parent(s), guardian, authorize Advancement Academy and its staff to act in the best interest of the applicant, at Advancement Academy’s discretion, in the event of injury to the applicant. By checking YES below, I agree to the training Waiver of Liability above *Yes Payment Instructions Call Bobbie at 614-579-7263 to pay by credit card. Make checks payable to: Bobbie Kuhns Registration fees are non-refundable and should be mailed to: Bobbie Kuhns 7022 Steeplebush Ave Westerville, Oh. 43082 VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank