SUMMER WORKOUT SESSIONS
Starting June 14, 2010
Mini-Camp 8:30am - 11:30 am Daily
Questions? Call 713-320-6672
Cost $35 per session - all payments payable to "Champion Trainers"
due at the beginning of session (check or cash).

- Parent's must complete one form for each child -

Where and When

Where:   Rice Track & Field Stadium 6480 Main St. & University Blvd. Houston, Texas   When:   Dates and Times to be Determined

Registration Information

Child's Full Name*:   Child's Age*: -Select -9101112131415161718192021

Child's Athletic Interests (Sports they participate in)

Track & Field Football   Baseball Basketball   Hockey Swimming   Soccer Lacrosse Other Interests & goals? Please describe them below:

Leagues they participate in & school they attend

Leagues and Organizations they participate in Include coaches name if available:   School they attend:

Parent / Guardian's Contact Information

Parent/Guardian's Name*:   Mailing Address:   City*:     Zip: Phone (include area code)*:   Emergency Contact Phone*:   Attendance*:   I will attend the event I cannot attend Email Address:   I would like to receive e-mails about upcoming events

Waiver

As parent/guardian of the above child, I hereby authorize his/her participation in the Champion Trainers Camp. I agree to release Eric Thomas, Champion Trainers, and all employees from responsibility for injuries incurred during the camp and/or any travel to or from camp. I authorize employees of Champion Trainers to arrange for any medical attention which they deem necessary should injury occur. Specific risks vary from one exercise to another and risks range from minor injuries to major injuries. In consideration of your participation in the activities offered by Champion Trainers, you understand and voluntarily accept this risk and agree that Champion Trainers will not be liable for any injury, including, without limitation, personal, bodily, or mental injury, guests, unborn child, or relatives resulting in negligence, of Champion Trainers or anyone on Champion Trainers behalf using the facilities whether related or not. You acknowledge and agree that you have read the foregoing and know of the nature of the activities with Champion Trainers and you agree to all terms of this agreement.

I am the Parent / Guardian of this child and agree to the above wavier.