 Elevate
Your Game, Inc.
2008
Skill Development Camps Application
and Parental/Guardian Release Form
Last
Name ___________________________________
First Name
________________________ Middle Initial _______
Home
Address ______________________________________________
City
_________________________ Zip ____________
Grade
Completed _____________ Birthdate _________________
Parent/Guardian Name
_______________________________
Phone
_______________ Cell ______________ Email
______________________
Level
(circle one) Beginner
Intermediate
Advanced
T-Shirt
size (circle Youth or Adult):
Youth
or
Adult
(circle
size)
S M L XL XXL
Position(s)
(circle) Point Guard
Shooting Guard Small Forward Big Forward Center
Who
is your favorite NBA, IBL, WNBA or CBA Basketball Player?
__________________________________________________________________________
What type of profession or career do you desire?
__________________________________________________________________________
E.Y.G.,
Inc. Parental/Guardian Release Form
I,
______________________________, as a parent of a child participating in
E.Y.G., Inc. Camps, do hereby release, acquit, hold harmless, and
forever discharge E.Y.G., Inc., its agents, agencies,
servants, employees, and all persons, natural or corporate, in
privity with them or any of them from any and all claims or causes of
action of any kind whatsoever, including but not limited to actions,
suits and/or claims from any bodily injuries, death, or property damage
which may be sustained by _________________________, my child, while
participating in activity, including travel to and from such activities,
not resulting from the intentional tortuous act or acts of any agent,
servant, or employee of E.Y.G., Inc.
It is acknowledged that the decision to engage in the above
activities is entered into freely, and that E.Y.G., Inc., its agents,
agencies, servants, and employees have not influenced the decision to
engage in such activities.
Signature
of Parent _____________________________________________________
Payment
Mail
application with payment to the address below or drop it off at the
location of the camp.
Please
make checks payable to: E.Y.G.,
Inc.
*PAYMENT
& REGISTRATION MUST BE RECEIVED ONE WEEK PRIOR TO START OF CAMP*
Total
Cost: $
_________________
Check Number: ________________
Elevate
Your Game, Inc., 9090
Skillman, #182-A, P 129, Dallas, TX
75243
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