Individual Consultation 6 Registration Form

Player Information (Fields marked with a * are required)

First Name

Last Name

Date of Birth

Gender
Male Female

Email Address

Confirm Email Address

Telephone

Street Address

City

Province / State

Postal / Zip Code

T-Shirt Size

Parent / Guardian Information

Name

Email

Confirm Email Address

Home Phone

Work Phone

Payment Options:
Pay Total: $500.00
Pay Deposit: $250.00

Maximum number of Registrants: 2

In case of emergency and in the event that ATS is not able to locate me, I hereby authorize ATS to seek medical aid for my child as they deem necessary and appropriate.

The above named child has my participation to participate in the ATS Summer Sports Camps. I understand what these activities involve and believe my child is in good physical and psychological condition and able to participate. I am fully aware of and appreciate the risks incidental to participation. I further agree on behalf of myself, my heirs, and personal representatives that ATS, the host organization, along with its employees, volunteers, officers and trustees of this organization shall not be liable for any injury, loss of life, or other damage occurring as a result of my child's participation in the program. As legal parent or guardian of the above named participant I hereby verify by my signature above that I fully understand and accept all of the conditions for permitting my child to participate in the programs offered by ATS Summer Sports Camp.

Please check if you agree to the above terms.

(Fields marked with a * are required)