athlete registration & Waiver

Please SUBMIT this athlete registration form before proceeding to the program information below!

Athlete's First Name:

Athlete's School:

Athlete's Position (On Field):

Athlete's Last Name:

Athlete's Year in School (Next Season):

Athlete's T-Shirt Size:

Anything we should know about your athlete? (Personal goals, first year in the sport?, etc.)

Parent or Athlete Email:

Email Agreement: By checking this box I agree that Off-Season Academy can add you to our email list to get notifications about this program and future offerings.

Emergency Contact Information

Emergency Contact Name:

Emergency Contact Phone Number:

Special Instructions or Health Concerns (Allergies, Medical Conditions, etc.):

Athlete Waiver Form

Waiver Statement: By checking this box I agree to the waiver terms and conditions outlined below. Please remember to e-sign at the bottom of this form.

I, the undersigned parent/legal guardian, hereby give permission for my above-named child to take part in the football skills and development program with Off-Season Academy, LLC. Should my child require immediate or emergency medical care while engaged in an activity sponsored by Off-Season Academy, LLC, in my absence, I hereby grant Off-Season Academy, LLC authority to release my child for medical treatment to such medical personnel as Off-Season Academy, LLC determined appropriate under the circumstances and to provide for transportation to a health care provider. I acknowledge that I shall be solely responsible for the cost of my child's treatment. In consideration for the privilege of allowing my child to participate in the above-named activity, I assume all risk involved in engaging in the activity. I further agree to release and hold harmless Off-Season Academy, LLC, its members, employees, volunteers and agents, from any liability to or responsibility for bodily injury, damage, illness, or death to the above-identified child while participating in any activity which may be directly or indirectly sponsored by Off-Season Academy, LLC. Further, I agree to indemnify Off-Season Academy, LLC, its members, employees, volunteers and agents for any costs, including actual attorneys fees, incurred in defending against any legal account arising out of bodily injury, illness or death of my child. The undersigned person acknowledges that they are legally authorized to execute this document on behalf of the child set forth above. They further acknowledge that there are inherent risks relative to any football activity and that I freely assume all risks associated with the activities set forth herein or other activities with Off-Season Academy, LLC in the future without the need to execute a separate waiver. PLEASE READ CAREFULLY, THIS PERMISSION FORM IS A LEGAL DOCUMENT WHICH INCLUDES A RELEASE OF LIABILITY AND INDEMNIFICATION. This waiver shall remain in full force and effect for a period of five (5) years from the date set forth below.

Photo Consent: By checking this box I grant Off-Season Academy permission to use photos for legal purposes only (including but not limited to) marketing, advertising, web content and socal media.

Parent/Guardian E-Signature:

Select a date

Thanks for registering your athlete!

Please proceed to program info and payment below.

This academy is open to all area football athletes. Athletes must be entering grades 6th through 12th. All positions are welcome!

This academy is a two-day, eight-hour program held on Friday July 11th starting at 1 p.m. (until 5 p.m.) and picking back up on Saturday July 12th starting at 8 a.m. (and ending at noon.) The focus of the academy will be on position skills and development with daily competitions and challenges.

This program will be held at the Mount Horeb youth football fields located at 918 S. Blue Mounds Road, Mount Horeb, WI.

Mount Horeb Area Academy

$150.00

Quantity

PROGRAM INFO
Registration includes a t-shirt. Additional awards may be earned.

Athletes will be required to wear athletic clothing, cleats, helmet, shoulder pads, mouth guard and practice jersey.

Athletes should also bring a pair of shoes (for gym use) and their own water supply.

Contact high school coaches to coordinate pickup of equipment.

athlete registration & Waiver

Mount Horeb Area Academy

PROGRAM INFO