KIDSSPEED REGISTRATION

SESSION I - REGISTRATION FORM
Choose from two locations: Beaches Episcopal:
Wednesdays, Sept. 10 - Dec. 3, 2009
(12 weeks)  
Scheduled
Payments:
1st Payment:
September 10, 2009/
$112.50

2nd Payment:
October 15, 2009/
$112.50
Parents Name:
Students Information: Student Name:   
Student DOB:
Email:
Phone Number(s):
Address:
City, State, Zip:
Emergency Contact Information:
Emergency Contact Name:

Relationship: Phone:
Comments:
How Were You Referred:

PHYSICALS
GSPI strongly urges all participants to obtain a physical examination from a licensed physician prior to beginning any physical conditioning program. Under certain circumstances, GSPI may require a Physician’s approval prior to beginning a training program.

PAYMENT INFORMATION
All payment for services shall be made payable in immediate funds to:
Godspeed Sports Performance Incorporated
13245 Atlantic Boulevard, Suite 4331
Jacksonville FL, 32225

You have the option of paying for the session in one payment or you can make in 2 payments.

Payments not received by the 10 days after the due date or 7 days after enrolling in class will incur $20.00 late fee. A $30.00 Returned check fee will be assessed for returned checks

Refunds/ Make up Classes
Godspeed does not offer refunds for missed classes. Once you register for a session you are obligated to attend and pay for the entire session. If you know your child will miss a class please contact our office within 24 hours of the scheduled class by email or phone and we will offer you a make up class in the next session. Each child will only be allowed 2 make-ups per session.

CLASS ATTIRE

Please make sure your student has proper athletic shoes and loose fitting athletic clothes for class. Cleats are not necesary as we will be training on artificial turf.

HYDRATION
A cold bottle of Gatorade or water sent with them to class will provide much needed hydration as we are working. Athletes will be allowed to take water breaks throughout the training.

*PHOTOGRAPHIC RELEASE
I hereby grant GSPI and their respective licensees, successors and assigns, the right and permission, with respect to those photographs or videos taken of the minor named below on whose behalf I am signing, and with respect to any printed matter on connection therewith, to do the following:

To include such photographs in all the media. And in advertising, publicity, and promotion thereof.

I hereby certify that I am the parent and/or guardian of a minor under the age of 18 years, and hereby consent on behalf of said minor to the use of any of the photographs or video taken of said minor pursuant to the terms set forth in this Photographic Release, including, without limitations, the release, discharge and hold harmless provisions thereof

WAIVER AND RELEASE BY PARENT OF MINOR OF LIABILITY

 

Note: e-mail addresses and other personal information will never be sold, rented, or otherwise disclosed to a third party.
They will be used to periodically update you on events concerning GODSPEED Sports Performance.

 

contact information
Email:
Phone:
Address:
Click to email
904.803.9991
13245 Atlantic Blvd.
Suite 4331
Jacksonville, FL 32225
contact information