EmailMe Form - Real Speed Basic Training

Name *
First Last
Birth Date *
MM / DD / YYYY
Phone *
### - ### - ####
Email *
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Are you training as an athlete or military recruit? *
If training for a sport, which sport?
As parent/guardian of the above-named child, I hereby grant permission for him/her to participate in the activities of Real Speed. I hereby waive, release and forever discharge said Real Speed Sports, its officers, members, agents, representatives, and employees from all claims and demands which I, my heirs, executors and administrators, and those of the above-named child have or may have by reason of any personal injury or injuries, property damage or damage of any nature whatsoever resulting from the participation of the above-named child in the activities of Real Speed Sports and any consequences arising therefrom. I understand that I must pay the required player fee for the registration period for my child to continue to participate in the program.
Signature confirms- I Agree to the terms & conditions
Clear