4REAL ACADEMY FINAL FORM
Parent/Guardian Information:
Parent/Guardian Name
(Required)
First
Last
Relationship to Participant(s)
(Required)
Phone Number
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Your Email Address
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Participants Information:
Participant List
Participants Name:
Age
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Emergency Contact Information
Emergency Contact Name
(Required)
(Other than Gaurdian)
First
Last
Emergency Contact Phone Number:
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Emergency Contact's Relationship to Participant(s)
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Medical Information
Does Participant Have Any Allergies? If Yes, Please Specify
Does Participant Have Any Medical Conditions Special Needs? If Yes, Please Specify
(Required)
WAIVER, RELEASE, AND STATEMENT OF PHYSICAL CONDITION
In consideration of the participation of my child, in the 4 Real Sports Academy, I, in my own right and as next friend of such minor child, for myself and for such minor child, our heirs, successors, administrators and assigns, hereby contractually waive, relinquish and release any and all rights, claims, actions and/or causes of action we may have against the 4 Real Academy, head/assistant coaches, and/or any volunteer assistant coach or other club personnel for personal injury or property damage arising from, or in any way connected with, the 4 Real Sports Academy during the 2025 calendar year. I further certify that the minor child named above is granted my permission to participate in the 4 Real Sports Academy. I am aware of the intensity of the training and competition involved and the associated risks, and I certify that such a child is physically fit to participate in such a program. I further certify that I know of no physical condition or impairment that would in any way prevent such a child from participating in the program. I further understand that, with my child’s membership, I assume the responsibility of helping with the competitions that the club shall put on in whatever capacity that I am qualified for. I authorize the program staff to obtain medical treatment for my child in the event of an emergency. I have read and understood everything on this form. My signature shows my acceptance to all items on this form.
(Required)
Signature (Authorized Parent/Guardian):
Dated on this day:
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Name
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