Strength and Conditioning Specialist

Participant Registration & Assumption of Risk

 

Please complete this form by entering the appropriate information in the field and clicking "Submit" at the bottom.
If you wish to clear your entry and start over, click "Clear Info."

If you have any questions, please e-mail us at rube@daverubinfitness.com or call us at 856-232-4889.
 
 
Start date:
 (use format mm/dd/yyyy)
Full name:
Age:
Phone:
 (use format nnn/nnn/nnnn)
E-mail address:
List any physical limitations, disabilities or previous injuries as well as prescribed medications: (please be specific)
I agree with the following statement:
 I disagree  I agree

I, the undersigned, hereby certify that I am the parent or legal guardian of the above named. I give permission for DRFT Sports Training to train my son / daughter, as appropriate, and, as hired towards their athletic endeavors. In the event medical attention is required, I will be responsible for all costs, as needed, except for that covered by DRFT Sports Training's coverage policy.

Parent name:
Current date:
 (use format mm/dd/yyyy)