Athlete's Name *

First Name

Last Name

Attendance *

Monday, September 29th (7th-12thth)

Monday, October 6th (7th - 12th)

Monday, October 13th (7th - 12th)

Wednesday, October 1st (3rd - 6th)

Wednesday, October 8th (3rd - 6th)

Wednesday, October 15th (3rd - 6th)

Parent/Guardian Phone *

(###)

###

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Emergency Contact Phone *

(###)

###

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Parent Agreement *

I confirm the information provided is accurate and I consent to my child’s participation in the selected program(s).

Liability Waiver *

I understand that participation in athletic activity involves some risk of injury. By registering my child, I agree to release and hold harmless Flyght Academy, U1 Flyght Dome, its staff, coaches, volunteers, and partners from any liability, claims, or expenses arising from participation.

Media Release *

I grant permission for photos, videos, and other media of my child taken during programs, events, and activities to be used by Flyght Academy for promotional, educational, and marketing purposes. I understand that no compensation will be provided for such use.