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 removed from the program immediately without a refund. Refunds can be requested 5 days prior to the end of registration date or the start of the season/program, whichever comes first. Due to cost of shirts/jerseys and other expenses, we cannot issue refunds after these dates. 2. Rain/Snow Cancellations: Due to the unpredictability of nature, we cannot issue refunds for canceled games due to weather. 3. Dissatisfaction: we are instructional and developmental. This means that any parent who registers a child does so with the understanding that the child may not enjoy and/or like a sport. Therefore, we cannot refund fee to unsatisfied parents.
Child's First Name
Child's Last Name
Date of Birth
Age: 4-7 (MVP360) and 8-14 (Safe-Hub)
Required for Potential Funding
American Indian or Alaska Native.
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
Do You Qualify for Free Lunch?
Parent/Legal Guardian Information
How Did You Hear About MVP360?
Updates are emailed weekly
Additional Parent/Legal Guardian Information
Consent and Waiver
DATES: March 28 - June 6 TIMES: TBD
Safe-Hub will Meet on Tuesdays/Thursdays/Saturdays. MVP360 will meet Saturdays ONLY
Multimedia Release Agreement. I grant MVP360/Safe Hub/Lighthouse 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/Safe Hub/Lighthouse. 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 2020/21 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/Safe Hub/Lighthouse 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
Checking This Box is NOT a Payment.
0.00 LIGHTHOUSE PRE-SCHOOL ONLY
Felix L. Agosto (609) 970-6834
President/CEO, MVP360 Community Programs