Registration

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Welcome to Destination Athletics! Please complete the following registration form.

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Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Additional Info

Please click on the Search button below, then choose the class. Do not select a class if you are registering for Preschool Open Play, Parents' Night Out, drop in classes, etc.

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Required Policies and Agreements
In consideration of being allowed to participate in any way in the Destination Athletics, LLC program, related events and activities, the undersigned acknowledges that:
1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
2) I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the Releases' or others, and assume full responsibility for my participation; and,
3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest instructor/coach immediately; and,
4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Destination Athletics, LLC, their board of directors, officers, managers, coaches, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct any event ("Releases'"), with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the Releases' or otherwise, to the fullest extent permitted by law.

FOR PARTICIPANTS OF MINORITY AGE
(UNDER AGE 18 AT THE TIME OF REGISTRATION)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases', and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releases' from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, even if arising from their negligence, to the fullest extent permitted by law.

By signing this form, I give my permission to Destination Athletics, LLC to use mine and/or my daughter/son's image, either in photo or video format. I understand that Destination Athletics, LLC will only use the image to promote the business and program at Destination Athletics, LLC. I also understand that these images may appear on pages such as the Destination Athletics, LLC webpage, www.destination-athletics.com, the Destination 850 Facebook page, Instagram and snapchat. These images may be used at the discretion on Destination Athletics, LLC staff to promote the programs.

I HAVE READ THIS RELEASE OF LIABILITY, ASSUMPTION OF RISK AGREEMENT AND PHOTO/VIDEO RELEASE, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. I UNDERSTAND THIS RELEASE OF LIABILITY INCLUDES THE PARENT/LEGAL GUARDIAN AND THE PARTICIPANT.

The caretaker shall have the following powers:
1) The power to seek appropriate medical attention or treatment on behalf of the child as required by the circumstances, including but not limited to medical doctor and/or hospital visits.
2) The power to authorize and execute consent for any and all medical care and treatment, including major surgery, deemed necessary by a duly licensed physician selected by the aforementioned caretaker for the health and well-being of the above listed child in an emergency situation.

Monthly Tuition is drafted on the 1st of the month. Payments will be assessed a late fee of $25 on the 5th. Any payment attempts resulting in a NSF (non-sufficient funds), declined credit card, expired credit/debit card, returned check, electronic debits, etc. will incur a $35 service charge. Any monies received will be applied first to any overdue tuition/fees. Destination 850 reserves the right to turn over all delinquent accounts to a collection agency and the parent/athlete will be responsible for all additional costs incurred. All payment due dates must be met and accounts must be in good standing to participate in practice/competitions/special events/etc. or receive any goods such as uniform, practice apparel, or other items. Tuition does not fluctuate based on the number or duration of practices in any month. Any and all funds are completely non-refundable. Annual registration fee of $50 is due at the time of registration. A 30 day drop notice must be emailed to info@destination-athletics.com, the drop will be effective 30 days from the the time the email is received. I understand that if I schedule a private lesson with an instructor, I will owe for the full amount of the lesson whether my child attends or not.

I Agree to All of the Above
Questions or Concerns
Payment Information
Please fill out ONE of the following Payment Methods
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)