free trial class

Child's Name *

First Name

Last Name

Child's Date of Birth *

MM

DD

YYYY

Do you agree to the terms below? *

By submitting this form, I waive any and all claims for my child against Empowered Fitness LLC (dba Play Sports), its coaches, and the school and staff, for any illness or injury which may result directly or indirectly from participation in this activity. I understand that my child's face may be included in classroom pictures sent through an approved app to other parents upon enrollment. Please contact Coach directly should you want to decline the media portion.

Yes, I agree.