Registration

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Come and join us for this great opportunity to elevate your stunt experience! This clinic is offered to any athlete who would like to grow stronger in their stunt experience as well as learning new and more challenging stunt skills. This will be beneficial for all experience levels (Beginner Level – Collegiate Level), with the appropriate staff knowledge and experience to match. Athletes are responsible for getting together their own stunt groups. ALL athletes in the group must register for the stunt clinic. You are allowed to have more than 4 participants in your group for those who are going in and out with other athletes. Ages 10 & Up – $60 per athlete

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:	Grade Level:*
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor:
	Previous Gyms Attended:

Questions/Options:


Please list FIRST and LAST name of everyone in your Stunt Group.(each person must register separately)*

Additional Information:

Financial

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I've read the above and agree.

Assumption of Risk/Release of Liability

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I've read the above and agree.

Enter your Full Name: