Proball Training Academy Enrollment Sheet
Students Name: ________________________________ D.O.B_______________
Address:_______________________________________________
Phone # ( )_______________________ ___________________
Primary Cell
Email Address:________________________ __________________
Parent/Primary Student/Secondary
School:________________________ Grade:_________
Years of Experience:_______
Positions Played (how long)________________ _________________
Lesson Package ½ Hour 1 Hour
Private $35 $50
Group (3-5 Students) $70 $100
5 Lessons (Private) $150 $200
5 Lessons (Group) $300 (1 Hr.) $450 (1 ½ Hr.)
10 Lessons (Private) $340 $500
Other Inquire for Cost Inquire for Cost
Package Choice:_____________________ Instructor___________________________
Payment Method: Cash Check Amount Paid:___________ Balance Owed:_____
WAIVER/EXCLUSION CLAUSE: I, the undersigned parent/guardian/participant, in enrolling at Proball Training Academy (Proball) understand that he/she/I in attending any Proball program and using the facilities does so at his/her my own risk. Proball, its owners, employees and agents shall not be liable for any damage whatsoever arising from any personal injury or property loss sustained by participant and his/her/my family in or about any programs on the premises. Participants and parents assume full responsibility for all injuries and damage which may occur in or about any programs on the premises. He/She/I do or does herby fully and forever release/discharge and hold harmless Proball, all associates facilities and its owners, employees and agents from any claims, demands, damages, rights of action, present or future resulting from or arising out of any persons participation in any programs or use of Proball facilities. In addition, he/she/I agree(s) to follow rules of play and conduct set by Proball. He/She/I understand(s) that failure to do so may result in suspension from participation. CONSENT: I, the undersigned parent of/guardian of/ participant do hereby grant authority to the staff of Proball to render a judgment concerning medical assistance or hospital care in the event of an accident or illness during my absence. I herby authorize Proball and its assigns to utilize any and all photographs, pictures, or other likeness of the participant/me, as they deem appropriate.
Signed___________________________________________ Date____________________________
