Athletic Youth Academy

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AYA Summer League Registration Form

Team Name:

* Coach Name:

* Mobile Contact:

* Email:

* Divisions:

Assistants Name:

* Mobile Phone:

* Email:

I agree all the information entered is correct. Any incorrect fee information could lead to termination and non-refundable registration. *

AYA Liability Waiver :Please select the checkbox to agree to waiver *

AYA Liability Waiver:
I am not aware of any injury, illness or other health related issues that would restrict or limit my child’s ability to play competitive sports.
I agree to assume all risks and expenses due to an injury that may occur as a result of my child’s involvement in competitive sports’ games, clinics, and or travel to and from activities.
I agree to hold the Athletic Youth Academy or anyone acting on its behalf either as a coach, a coaching assistant or administrator harmless in the event of an injury to my child while participation under the supervision of the above.

* indicates required fields

Deposit($150)

Remaining Balance($600)

Full Payment($750)

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AYA Summer League Registration Form