5v5 Registration Form

First name

Last name

Phone

Height

Weight

Position(s)

Grade or Graduating Year

School

GPA

Emergency Contact

Emergency Contact Number

Any Medical Concerns that we need to be aware of/sensitive to?

YES

Please provide additional details if YES was selected:

Game Ready Elite may take pictures and/or video of you for use in social media sharing:

YES

Game Ready Elite can use the provided phone numbers and email addresses for communication:

YES

ALL of the above information will be kept confidential and will not be shared with outside sources

RELEASE: In consideration of me and/or my child participation in this program, I recognize that there are inherent risks associated. I hereby agreed to release Game Ready Elite from all claims, liabilities, obligations and costs which I may have against Game Ready Elite, and their respective agents, servants and representatives, arising out of injury, loss or damage while I or my child participate in the program, whether or not arising from any negligence on the part of Game Ready Elite, or their respective agents, servants and representatives.

Signature

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Date

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