Please select your child's gender:

    Player's Name

    Player's Address

    Player's Grade

    Player's Birthday

    Player's Jersey Size

    Player's Shorts Size

    Parent/Guardian Name

    Parent/Guardian Address

    Parent/Guardian Email

    Parent/Guardian Cell #

    Relationship to Player

    Alternate Emergency Contact #

    Liability Waiver:

    1. Guests are subject to all policies and procedures of Starting5. Guests who violate any policy or are deemed by the facility to be acting in any manner that is unacceptable to the facility will be required to leaver immediately.
    2. The facility reserves the right to refuse admission to any guest for any reason and guests residing in a local community (communities within neighboring counties) may not enter the facility as guests more than 3 times.
    3. My signature below indicates full understanding and compliance with the above provisions and the following waiver of liability

    I understand that the user of exercise equipment and facilities at Starting5 may subject me to certain physical and medical risks that I agree to assume. I declare myself to be physically sound and suffering no physical impairment, condition or illness that would prevent my safe participation in any exercise program at Net Sports. I further understand that the facility assumes no responsibility for my personal safety and I hereby release the facility, its officers, directors, agents, and employees from any and all liability which may arise directly or indirectly from any damage to me or my property as a result of my participation in exercise and/or use of the facilities at Starting5

    “Type your name” here if you agree with the above statement.