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Start Date/Time: |
End Date/Time:
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Fee per Student:
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Room:
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Family Information |
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Students entered below will be added to your family's account
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Add New Student #1:
(Show-Hide Details)
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Add New Student #2:
(Show-Hide Details)
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Add New Student #3:
(Show-Hide Details)
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Add New Student #4:
(Show-Hide Details)
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Add New Student #5:
(Show-Hide Details)
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Questions/Options: |
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Additional Information: |
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Parent Participation
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As the parent or legal guardian of the above named player, I hereby give consent for medical care from any licensed physician, hospital, or medical clinic for the player named herein as either parent or guardian cannot be contacted in person or by telephone. This authorization shall include all league activities, including the period required to travel to and from those activities. I do hereby waive, release, absolve, indemnify and agree to hold harmless, Action Day Schools, the organizers, supervisors, participants and the person transporting the players to and from those activities for any claim arising out of an injury to the player or medical treatment for the player.
I've read the above and agree.
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Consent for the Treatment of a Minor
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As a participant or a parent/guardian of a participant, I understand that Action Sports Bay Area cannot be responsible for any injuries or damages suffered by my child during his/her participation in the program. With this knowledge, I consent to my child's participation. I agree that neither my child nor I will institute any legal action or assert any claim against ASBA or Action Day Schools for any injury or damage experienced by the student. In an emergency situation, if I cannot be reached, I hereby grant permission for a staff member of ASBA or ADS to seek professional emergency medical treatment for my child. If, in the judgment of a qualified medical doctor or other personnel of an emergency treatment facility asserts that medical assistance or treatment is required, this will authorize such assistance or treatment.
I've read the above and agree.
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Payment Policies
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- I understand that my account will be charged the total amount due for my child’s league registration.
- I understand that the registration fee is non-refundable.
- I understand a 2.59% surcharge will be assessed for any credit card transaction.
- I understand that I will receive a 25% discount if I am a volunteer coach or assistant coach.
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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| eCheck/Bank Draft:
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Bank Name: |
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Bank Routing Number: |
(9-digit number)
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Your Account Name: |
(Your name on your bank statement)
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Your Account Type: |
Account Number:
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