NEW ATHLETE INFO GATHER

Athlete Information

* Indicates required field

Athlete Name *

First

Last

Athlete Age *

Athlete School *

Athlete Summer Ball Team *

Athlete Date of Birth *

Athlete Grade *

Parent/Guardian Information

Parent/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

First experience with 360U? *

Yes, first time working with 360U! No, we've worked with 360U in the past!

This checkbox serves as my electronic signature verifying that I agree with and accept the terms listed in the Release, Indemnification, and Hold Harmless Agreement found below. I understand that in order for my child to participate, I must give electronic consent prior to participation. Payment due upon beginning of session. If participating in all sessions at discounted rate, full payment is due upon arrival of first session. *

Yes I understand, thank you.

Submit

360u_release_indemnification_and_hold_harmless_agreement.pdf
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File Type:	pdf

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Athlete Information

Parent/Guardian Information