Player’s Name *

First Name

Last Name

Skill Level *

Beginner

Intermediate

Advanced

Left Handed or Right Handed *

Left Handed

Right Handed

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone *

(###)

###

####

Release & Code of Conduct *

I hereby release Giorgetti Athletics and its designated leadership from accident and liability obligations. Understanding that as parents we will not always agree with coaches and referees in the games, I pledge that we will conduct ourselves in a manner that is reflective of the goals of Giorgetti Athletics so that the children participating will not be influenced negatively by our actions on the sidelines. I understand that no refunds will be given unless Giorgetti Athletics cancels the clinic.

I understand and agree