Parent's First Name *

Last Name *

Phone *

Email *

Athlete Name *

Athlete Date Of Birth *

Date of Open Gym Attending? *

Agreement

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.1

I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.1

Acknowledgment *

I have read and agree to the Magic Athletics Release, Waiver and Indemnification Agreement.

Responsible Party Signature *

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