Participation/Attendance: Parent/Guardian MUST be present at all times. I understand that Parents/Guardians are required to be at the games/clinics. If my child(ren) is found unattended, he/she will be disqualified from the competition.
Child's First Name
Child's Last Name
Date of Birth
SELECT AGE GROUP
Age 7/8 Born between July 18, 2010 - July 17, 2012
Age 9/10 Born between July 18, 2008 - July 17, 2010
Age 11/12 Born between July 18, 2006 - July 17, 2008
Age 13/14 Born between July 18, 2004 - July 17, 2006
Player is competing in what category? ALL three CAN be selected.
Parent/Legal Guardian Information
How Did You Hear About MVP360?
Updates are emailed weekly
Additional Parent/Legal Guardian Information
Consent and Waiver
DATE: SATURDAY APRIL 27 TIME TBD
Multimedia Release Agreement. I grant MVP360 permission to use photos and videos on social media and website for the purpose of promoting and highlighting this event. Parents Consent: I hereby give consent to the above-named child to practice and participate in all instructional activities with MVP360. In addition, I give my permission for travel to and from the nearest emergency treatment facility as deemed necessary by program authorities. This permission is granted for the 2018/19 Season.
I AGREE to the waiver: By checking the "I Agree to the waiver" box, you acknowledge that participation in the program exposes your child to a possibility of personal injury. You, the PARENT/LEGAL GUARDIAN, being fully aware that participation in the program exposes your child to a possible risk of personal injury, hereby release MVP360 and all affiliates from any and all liability from property damage, personal injuries, or other claims arising from or in connection with your participation in the program including claims that are known and unknown, foreseen and unforeseen, future or contingent. You acknowledge that you have read and fully understand the Injury Waiver and General Release Form. This agreement shall be binding on you, your spouse, your children, legal representatives, heirs, successors and assigns.
LOCATION: 101 E Erie Ave, Philadelphia PA 19134
Felix L. Agosto (609) 970-6834
President/CEO, MVP360 Community Programs