MJB College Recruiting Night

by corsock89 | Jan 14, 2018 | Uncategorized

Attendees:

Who will be attending this clinic? *

Payment Method : *

Mailing Payment
Submitting Payment within Facility

Checks payable to - MJB Performance, LLC Mailed to: 249 Planebrook Rd SUITE 4, Frazer PA 19355

Parent Details ----------------------------------------------------------------------------------------------------------

Parent Name *

First

Last

Parent Contact Email *

Player Details ------------------------------------------------------------------------------------------------------------

Player Name *

First

Last

Player Age *

High School

Current Grade *

Graduating Class / Year *

________________________________________________________________________________

Parent's Acknowledgement & Participation Release Form *

Parent’s Acknowledgement and Participation Release form I further agree for, my child and myself to indemnify and hold Michelle Sawka/MJB Performance employee from any and all claims or causes of action, including Lawsuits, for personal injuries or damages, including death, including but not limited to judgments and attorney’s fees, caused by or related to my daughter or son’s participation in MJB Performance events. This acknowledgement and release binds myself, my daughter or son’s other parent or guardian (if applicable), and daughter or son, and my successors or assigns.

Parent's Acknowledgement *