Checks made payable to: Extreme Attack Athletics
Please mail check and registration form(s) to:
Extreme Attack Athletics P.O. Box 631, Huntly, IL 60142
Without a parent/guardian signature the athlete will not be able to participate Extreme Attack Athletics Private or Small Group Trainings.
AUTHORIZATION FOR AGENT
TO CONSENT TO MEDICAL TREATMENT OF A MINOR
In the event of any emergency in which my child requires medical care, I authorize the staff of Extreme Attack Athletics to act for me and to obtain for my child whatever medical treatment the staff in its best judgment deems necessary and appropriate. I specifically consent to any X-ray examination, anesthetic medical or surgical diagnosis or treatment and hospital care of (name of Child) deemed advisable by a licensed physician and surgeon and provided by that physician or under that physician’s supervisions, regardless of where the treatment is provided. I will be responsible for any medical or other charges in connection with my child’s attendance at the Extreme Attack Athletics.
ACKNOWLEDGMENT OF RISKS RELEASE AND INDEMNIFICATION AGREEMENT
I acknowledge that at the Extreme Attack Athletics my child will participate in a sport that may involve, among other things, physical contact of the body with other persons or objects, including contact with a hard surface and that at the Extreme Attack Athletics, , my child may incur a serious injury. In consideration of my child being permitted to participate in the Extreme Attack Athletics and to use the program’s facilities and equipment, I agree to accept all risk to my child’s health and of my child’s injury or death that may result from such participation and I release Los Caballeros, the Extreme Attack Athletics, its coaches, governing board, members, officers, agents, employees, volunteers, and representatives from any and all liability to my child.