Adult Conditioning Camp
Registration
Program: ______ 6:00am Conditioning Camp ______ 9:00am Conditioning Camp
Name ________________________ E-mail _____________________________________
(Please print clearly; this is how we will communicate class info.)
Address ______________________________ City ______________ State _____ Zip _________
Home Phone ____________________ Cell Phone ________________________
Emergency Contact (Name)____________________________ (phone)___________________
Payment: ____________ Circle: Member Non-member
Conditioning Camp Packages (check one):
|
20 Sessions |
16 Sessions |
8 Sessions |
Drop-In |
Member |
____ $100 |
____ $90 |
____ $64 |
____ $10 |
Non-Member |
____ $340 |
____$300 |
____$175 |
____$22 |
Waiver: I hereby give my consent to The Next Level Athletic Performance Center to provide reasonable and customary emergency medical services if necessary in the course of my participation. I am fully aware of the hazards and risks associated with my participation in athletic training. I further agree on behalf of myself, my heirs and personal representatives to release, discharge and waive any and all claims against The Next Level Athletic Performance Center, United Sports Management, LLC, their officers, directors, coaches, trainers, employees, agents and volunteers from all claims or liabilities of any kind arising out of my participation in athletic training or activities.
Signature________________________________________ Date____________________
The Next Level Athletic Performance Center
5420 Butler Rd, Bethesda, MD 20816
www.nextlevelathletes.net
240-497-1460
