• Telos Performance

    Athletic Performance Camp

  • Athlete Information

  • Is the participant currently 18 years of age or older?*
  • Grade Level*
  • Format: (000) 000-0000.

  • Parent/Guardian Information

  • Format: (000) 000-0000.

  • Health and Safety

  • Is the parent/guardian listed above the emergency contact?*
  • Format: (000) 000-0000.
  • Relationship to athlete.*
  • Does the athlete currently have any injuries, pain, physical limitations, or movement restrictions?*
  • Does the athlete have any allergies we should be aware of?*
  • Does the athlete have asthma, a medical condition, or any health concern that may affect participation?*
  • Is there any other medical, physical, behavioral, or health-related information Telos Performance should be aware of to help ensure safe participation?*

  • Referral Information

  • How did you hear about Telos?*

  • Assumption of Risk, Liability Waiver, and Covenant Not to Sue

  • Medical Authorization and Emergency Treatment Authorization

  • Code of Conduct

  • Cancellation and Refund Policy

  • Media Release and Authorization

  • Acknowledgment and Electronic Signature

    I acknowledge that I have reviewed and agreed to all documents presented as part of this registration, including all applicable waivers, authorizations, releases, policies, and acknowledgments. I certify that all information provided in this registration is accurate and complete to the best of my knowledge. I understand that submission of this registration and my electronic signature constitute my agreement to be bound by the terms of those documents.
  • Date
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  • Payment*

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